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NPI Code Detail

MEDICARE: MS. FRANCES FAWUNDU MA, ATR-BC, LCAT

MEDICARE: MS. FRANCES FAWUNDU MA, ATR-BC, LCAT
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
1221700000XArt Therapist000663NY

General Provider Information

NPI Number : 1598034316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FRANCES FAWUNDU MA, ATR-BC, LCAT
Provider Business Mailing Address
First Line : 760 BROADWAY
Second Line : 5TH FLOOR, ROOM 5B200
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-5902
Fax Number : 718-963-5831
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line : 5TH FLOOR, ROOM 5B200
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 718-963-5902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 12/23/2011

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