Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 193148 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | 193148 | NY |
NPI | 1386620805 |
---|---|
Provider Name | Dr. Linda Sung |
First Address | Mineola, NY 11501-4235 |
Second Address | Mineola, NY 11501-4235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 13/10/2021 |