Individual
MR. QUINN EDWARD FUNN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A, M.A
Contact information
Practice address
83 E MAIN ST, BAY SHORE, NY 11706-8305
(631) 830-7810
Mailing address
32 WOODED WAY, CALVERTON, NY 11933-9706
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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