Amanda Marie Funcheon

NPI 1407102858 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1407102858
Gender Female
Enumeration Date 08/02/2012
Last Updated 08/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
29 PINEWOOD DR
COMMACK NY, 11725-5612, US
Phone (631) 499-1237
Fax
Business Location
29 PINEWOOD DR
COMMACK NY, 11725-5612, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State
License Number
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According to our database, Ms. Amanda Marie Funcheon NPI is 1407102858, taxonomy code is 235Z00000X Amanda Marie Funcheon physically located at 29 Pinewood Dr, Commack NY, 11725-5612. NPI Number Amanda Marie Funcheon has the Individual type.

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1407102858 NPI number is provided on an as is basis without warranty of any kind. 1407102858 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Funcheon are for informational purposes only.