Provider Demographics
NPI:1467282301
Name:TUNG, HENNIS (MS, RD)
Entity type:Individual
Prefix:
First Name:HENNIS
Middle Name:
Last Name:TUNG
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SEYMOUR RD
Mailing Address - Street 2:44C
Mailing Address - City:HONG KONG
Mailing Address - State:HONG KONG
Mailing Address - Zip Code:00000
Mailing Address - Country:HK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 SEYMOUR RD
Practice Address - Street 2:44C
Practice Address - City:HONG KONG
Practice Address - State:HONG KONG
Practice Address - Zip Code:00000
Practice Address - Country:HK
Practice Address - Phone:852-599-9869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86051879133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered