Individual
LENA TUNG MUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
67 SHORE RD, PORT WASHINGTON, NY 11050-2257
(516) 253-2890
Mailing address
24 ROCKLAND DR, JERICHO, NY 11753-1409
(917) 607-0611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017489
NY
Other
Enumeration date
04/10/2014
Last updated
04/23/2024
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