Provider Demographics
NPI:1346275047
Name:TUNG, GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:TUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5704
Mailing Address - Country:US
Mailing Address - Phone:516-783-0300
Mailing Address - Fax:516-783-4048
Practice Address - Street 1:560 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5100
Practice Address - Country:US
Practice Address - Phone:516-783-0300
Practice Address - Fax:516-783-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162044207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
9249627OtherCIGNA
180041911OtherRAILROAD MEDICARE
AS850OtherOXFORD
NY2598669OtherGHI
NY737803OtherAETNA HMO
971T372OtherEMPIRE BLUE CROSS-SHIELD
NY2144535OtherAETNA PPO
113157618OtherAARP
1C7540OtherHEALTHNET
180041911OtherRAILROAD MEDICARE
1C7540OtherHEALTHNET
NY18F51EV861Medicare PIN