Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 259512 | NY |
NPI | 1073569893 |
---|---|
Provider Name | Dr. William Hung |
First Address | Bronx, NY 10468-3904 |
Second Address | Bronx, NY 10468-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 23/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03386174 | (05) | NY |