Provider Demographics
NPI:1720003197
Name:SUN, FRANK LINCOLN (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LINCOLN
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-0217
Mailing Address - Country:US
Mailing Address - Phone:631-224-8534
Mailing Address - Fax:631-224-8560
Practice Address - Street 1:1000 MONTAUK HWY
Practice Address - Street 2:GOOD SAMARITAN HOSPITAL MEDICAL CENTER, PEDIATRICS
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4927
Practice Address - Country:US
Practice Address - Phone:631-376-4071
Practice Address - Fax:631-376-3502
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY208704208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics