Provider Demographics
NPI:1174851364
Name:BIM-NUN, TZIONA (AUDIOLGIST)
Entity type:Individual
Prefix:
First Name:TZIONA
Middle Name:
Last Name:BIM-NUN
Suffix:
Gender:F
Credentials:AUDIOLGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3846
Mailing Address - Country:US
Mailing Address - Phone:718-686-0100
Mailing Address - Fax:718-504-5062
Practice Address - Street 1:5225 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3846
Practice Address - Country:US
Practice Address - Phone:718-686-0100
Practice Address - Fax:718-504-5062
Is Sole Proprietor?:No
Enumeration Date:2009-11-26
Last Update Date:2009-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001312-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist