Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 25MA10523000 | NJ |
Y | 2080P0204X | Pediatric Emergency Doctor | 192510 | NY |
NPI | 1003992959 |
---|---|
Provider Name | Joy L Tun |
First Address | Armonk, NY 10504-1202 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 05/07/2019 |