Basic Information
| Provider Information | |||||||||
| NPI: | 1720003197 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SUN | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | LINCOLN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 217 | ||||||||
| Address2: | |||||||||
| City: | WEST ISLIP | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117950217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6312248534 | ||||||||
| FaxNumber: | 6312248560 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 MONTAUK HWY | ||||||||
| Address2: | GOOD SAMARITAN HOSPITAL MEDICAL CENTER, PEDIATRICS | ||||||||
| City: | WEST ISLIP | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117954927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6313764071 | ||||||||
| FaxNumber: | 6313763502 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 01/10/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 208704 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.