Funt, Stacey Arlene

Funt, Stacey Arlene is an individual health care provider with primary practice located at 270 Park Ave , Huntington NY 11743. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Funt, Stacey Arlene can be contacted via phone (516) 719-5765.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 186314 New York

Profile Details

NPI number 1811965544
LBN Legal business name Funt, Stacey Arlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811965544 NPPES
New York MEDICAID 01693549

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