Provider Demographics
NPI:1689732521
Name:SUNG, HSUNG ZIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HSUNG ZIN
Middle Name:
Last Name:SUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 DEKALB AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-4419
Mailing Address - Country:US
Mailing Address - Phone:718-622-0099
Mailing Address - Fax:718-423-6521
Practice Address - Street 1:443 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4419
Practice Address - Country:US
Practice Address - Phone:718-622-0099
Practice Address - Fax:718-423-6521
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00765600Medicaid
NY00765600Medicaid
NY93A75300Medicare ID - Type Unspecified