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Individual

MRS. ELIZABETH C FUNGKHEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
126 N FRANKLIN ST, HEMPSTEAD, NY 11550-1318
(516) 486-7200
(516) 486-7291
Mailing address
126 N FRANKLIN ST, HEMPSTEAD, NY 11550-1318
(516) 486-7200
(516) 486-7291

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11689
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11689
CASAC
NY
Enumeration date
08/01/2013
Last updated
08/01/2013
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