Provider Demographics
NPI:1720070212
Name:TUN, TIN MAR (MD)
Entity Type:Individual
Prefix:DR
First Name:TIN MAR
Middle Name:
Last Name:TUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 OCEANA DR W
Mailing Address - Street 2:APT. 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6656
Mailing Address - Country:US
Mailing Address - Phone:718-336-2499
Mailing Address - Fax:718-336-2496
Practice Address - Street 1:214 AVENUE S
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2629
Practice Address - Country:US
Practice Address - Phone:718-336-2499
Practice Address - Fax:718-336-2496
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213698-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY213698OtherHIP
NY213698-A15OtherHEALTHFIRST
NMP2590785OtherOXFORD
NY7738352OtherAETNA - COMMERCIAL
NY210919AOtherMAGNACARE
NY01906289Medicaid
NY6B120OtherEMPIRE -BC/BS
NY1202779OtherUNITED HEALTH CARE
NY2696195OtherGHI
NY2886080OtherAETNA - GOV PLANS
NY1858908-003OtherCIGNA
NY3C4648OtherHEALTHNET
NYPC2830OtherCENTERCARE
NY01906289Medicaid
NY213698OtherHIP