Provider Demographics
NPI:1316784580
Name:DANIEL FUNSCH JR, M.D., P.C.
Entity type:Organization
Organization Name:DANIEL FUNSCH JR, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:FUNSCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-771-4986
Mailing Address - Street 1:885 3RD AVE FL 28
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4834
Mailing Address - Country:US
Mailing Address - Phone:305-771-4986
Mailing Address - Fax:
Practice Address - Street 1:885 3RD AVE FL 28
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4834
Practice Address - Country:US
Practice Address - Phone:305-771-4986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-13
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty