Individual
AMIE FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-5555
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383636
NY
Other
Enumeration date
09/04/2023
Last updated
11/25/2023
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