# WOMEN'S WELLNESS PLACE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376617480
- **Authorized official:** DR. CHANTELL DALPE-FUNG MD (PHYSICIAN)
- **Authorized official phone:** (315) 478-1158

## Contact information

- **Practice address:** 739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
- **Practice address phone:** (315) 478-1158
- **Practice address fax:** (315) 478-3014
- **Mailing address:** 739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
- **Mailing address phone:** (315) 478-1158
- **Mailing address fax:** (315) 478-3014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 02/18/2013
