Dr. Brian Funk, DDS
Dentist, General Practice in Brooklyn, NY. Individual provider (NPI-1).
NPI number1669973301
StatusActive
Last updated in NPPESSep 14, 2020
Details
- NPI
- 1669973301
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Funk
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2018
- Certification date
- Sep 14, 2020
- Last updated
- Sep 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 060500 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
150 55th StDepartment Of Dental Medicine
Brooklyn, NY 11220-2508
Phone 516-382-5319
Mailing address
530 E 20th St Apt 3aNew York, NY 10009-1342
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