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NPI Code Detail

MEDICARE: KIRSTIE FUNG PHARMD

MEDICARE: KIRSTIE FUNG PHARMD
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
1183500000XPharmacistI062320NY

General Provider Information

NPI Number : 1972045532
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTIE FUNG PHARMD
Provider Business Mailing Address
First Line : 411 KING ST
Second Line :
City : CHAPPAQUA
State : NY
Zip : 10514-3543
Country : US
Telephone Number : 914-861-9130
Fax Number : 914-861-9247
Provider Business Practice Location Address
First Line : 411 KING ST
Second Line :
City : CHAPPAQUA
State : NY
Zip : 10514-3543
Country : US
Telephone Number : 914-861-9130
Fax Number : 914-861-9247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2016
Last Update Date : 11/14/2016

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Directions to “ KIRSTIE FUNG PHARMD” Practice Location

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