Individual
DR. AMY FUNKENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
83 LEONARD ST STE 8, BELMONT, MA 02478
(617) 383-9649
(617) 489-2597
Mailing address
83 LEONARD ST STE 8, BELMONT, MA 02478-2508
(617) 383-9649
(617) 489-2597
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD14264
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
249885
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD14264
MEDICAL LICENSE
RI
Enumeration date
04/02/2009
Last updated
07/24/2018
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