Provider Demographics
NPI:1659086833
Name:SUER, FUNDA E (PHD, FACMG, DABMGG)
Entity Type:Individual
Prefix:DR
First Name:FUNDA
Middle Name:E
Last Name:SUER
Suffix:
Gender:F
Credentials:PHD, FACMG, DABMGG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1718
Mailing Address - Country:US
Mailing Address - Phone:866-240-4485
Mailing Address - Fax:
Practice Address - Street 1:505 IRVING AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1718
Practice Address - Country:US
Practice Address - Phone:866-240-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYORKUF1207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics