Provider Demographics
NPI:1386714434
Name:MYINT, NYUN NYUN (MD)
Entity type:Individual
Prefix:
First Name:NYUN NYUN
Middle Name:
Last Name:MYINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:173 CLAUDY LN
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1638
Mailing Address - Country:US
Mailing Address - Phone:516-435-5703
Mailing Address - Fax:516-437-4336
Practice Address - Street 1:10 GRACE AVENUE
Practice Address - Street 2:SUITE 8
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-435-5703
Practice Address - Fax:516-437-4336
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2154742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry