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Individual

DR. ELKIE FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(929) 354-6505
Mailing address
105 W 55TH ST APT 9D, NEW YORK, NY 10019-5337
(929) 354-6505

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV008973-01
NY
152WV0400X
Vision Therapy Optometrist
Primary
TUV008973-01
NY

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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