Provider Demographics
NPI:1871523001
Name:AUNG-HILLMAN, TU TU (MD)
Entity type:Individual
Prefix:
First Name:TU TU
Middle Name:
Last Name:AUNG-HILLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
Mailing Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:517-334-2363
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY210424207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01853929Medicaid
MNP00428218OtherRAILROAD MEDICARE
MI1871523001Medicaid
MN438982000Medicaid
MIC36082107Medicare PIN
MN830000507Medicare PIN
MNP00428218OtherRAILROAD MEDICARE
NY01853929Medicaid
MI0C36082Medicare PIN