Individual
TINA K FUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
229 7TH ST, SUITE 105, GARDEN CITY, NY 11530-5766
(516) 747-7778
(516) 747-7807
Mailing address
229 SEVENTH ST, SUITE 105, GARDEN CITY, NY 11530-5766
(516) 747-7778
(516) 747-7807
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
167041
NY
Other
Enumeration date
02/17/2006
Last updated
11/19/2009
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