Provider Demographics
NPI:1598996498
Name:FUNG, SUK MING (RN-BC, ACNP-BC, MSN)
Entity Type:Individual
Prefix:MISS
First Name:SUK MING
Middle Name:
Last Name:FUNG
Suffix:
Gender:F
Credentials:RN-BC, ACNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8895 26TH AVE
Mailing Address - Street 2:UNIT 3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6608
Mailing Address - Country:US
Mailing Address - Phone:917-548-0528
Mailing Address - Fax:
Practice Address - Street 1:560 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5600
Practice Address - Fax:212-263-0792
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY430428363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care