Organization
WALTER SUSSMAN MDPC & GEORGE TUNG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID TUNG (PRACTICE ADMINISTRATOR)
(516) 783-0300
Entity
Organization
Contact information
Practice address
2450 MERRICK RD, BELLMORE, NY 11710-5704
(516) 783-0300
(516) 783-4048
Mailing address
2450 MERRICK RD, BELLMORE, NY 11710-5704
(516) 783-0300
(516) 783-4048
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
162044
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180014063
MEDICARE RAILROAD
NY
01
—
1C6509
HEALTHNET
NY
01
—
2144535
AETNA
NY
01
—
2598669
GHI
NY
01
—
737803
AETNA
NY
01
—
9249627
CIGNA
NY
01
—
AS851
OXFORD
NY
01
—
GT018F5110
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/29/2007
Last updated
03/16/2020
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