Organization
WOMEN'S WELLNESS PLACE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANTELL DALPE-FUNG MD (PHYSICIAN)
(315) 478-1158
Entity
Organization
Contact information
Practice address
739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
(315) 478-1158
(315) 478-3014
Mailing address
739 IRVING AVE, SUITE 300, SYRACUSE, NY 13210-1640
(315) 478-1158
(315) 478-3014
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375359
—
NY
Enumeration date
11/20/2006
Last updated
02/18/2013
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