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NPI Code Detail

MEDICARE: SHIRMA FUNG MSW

MEDICARE: SHIRMA FUNG MSW
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 : 1881935195
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRMA FUNG MSW
Provider Business Mailing Address
First Line : 330 HINSDALE ST
Second Line : APT. E327
City : BROOKLYN
State : NY
Zip : 11207-4518
Country : US
Telephone Number : 718-385-0267
Fax Number :
Provider Business Practice Location Address
First Line : 14040 SANFORD AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2556
Country : US
Telephone Number : 718-939-7160
Fax Number : 718-939-2533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2013
Last Update Date : 03/12/2013

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