Provider Demographics
NPI:1982624334
Name:TUN, HLA (MD)
Entity Type:Individual
Prefix:
First Name:HLA
Middle Name:
Last Name:TUN
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:PO BOX 640326
Mailing Address - Street 2:ATTN: SPRING LIFE MEDICAL SERVICES, P.C.
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-0326
Mailing Address - Country:US
Mailing Address - Phone:718-423-8874
Mailing Address - Fax:718-423-8874
Practice Address - Street 1:9617 69TH AVE
Practice Address - Street 2:ATTN: SPRING LIFE MEDICAL SERVICES, P.C.
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5139
Practice Address - Country:US
Practice Address - Phone:347-589-3714
Practice Address - Fax:347-233-2584
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2181532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI09725Medicare UPIN
NY372BK1Medicare ID - Type Unspecified