Provider Demographics
NPI:1821250036
Name:HUNG, LINGPIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINGPIN
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LING PIN
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:75 COACHMAN PL W
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3048
Mailing Address - Country:US
Mailing Address - Phone:718-886-6625
Mailing Address - Fax:718-886-6624
Practice Address - Street 1:3712 PRINCE ST STE 6B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4651
Practice Address - Country:US
Practice Address - Phone:718-886-6625
Practice Address - Fax:718-886-6624
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253919207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03224802Medicaid
NYG400047268Medicare PIN