Individual
DR. ALLEN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
827 FOREST AVE, STATEN ISLAND, NY 10310-2410
(347) 977-4676
Mailing address
827 FOREST AVE, STATEN ISLAND, NY 10310-2410
(718) 981-5098
(718) 981-6792
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
006673
NY
213ER0200X
Radiology Podiatrist
006673
NY
213ES0000X
Sports Medicine Podiatrist
006673
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
006673
NY
Other
Enumeration date
05/02/2013
Last updated
12/12/2019
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