Individual
STEPHEN F FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3037 DAVID CT, OCEANSIDE, NY 11572-4415
(516) 238-6125
Mailing address
3037 DAVID CT, OCEANSIDE, NY 11572-4415
(516) 238-6125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017362
NY
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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