Individual
MR. CHRISTOPHER JOHN FUNFGELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10261 66TH RD, ATTN: SURGERY DEPARTMENT, FLUSHING, NY 11375
(718) 830-4093
Mailing address
216 GARDNER AVE, JERICHO, NY 11753-2463
(516) 680-9472
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016618
NY
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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