Individual
AMY FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 LAKE STREET, APT, SUITE, FLOOR, ETC., BROOKLYN, NY 11223
(646) 204-0594
Mailing address
519 LAKE ST, BROOKLYN, NY 11223-4641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027559
NY
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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