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NPI Code Detail

MEDICARE: STEFFANIE MARIE FUNG

MEDICARE: STEFFANIE MARIE FUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1457874257
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFFANIE MARIE FUNG
Provider Business Mailing Address
First Line : 335 W 51ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10019-6401
Country : US
Telephone Number : 973-870-2633
Fax Number :
Provider Business Practice Location Address
First Line : 119 SCHENECTADY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-2330
Country : US
Telephone Number : 973-870-2633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2017
Last Update Date : 07/21/2022

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