Individual
DR. BRIAN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 55TH ST, DEPARTMENT OF DENTAL MEDICINE, BROOKLYN, NY 11220-2508
(516) 382-5319
Mailing address
530 E 20TH ST APT 3A, NEW YORK, NY 10009-1342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060500
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2018
Last updated
09/14/2020
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