Provider Demographics
NPI:1942561808
Name:FUNARO, CHIMENE NICOLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CHIMENE
Middle Name:NICOLE
Last Name:FUNARO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 BARKLEY LN
Mailing Address - Street 2:
Mailing Address - City:NESCONSET
Mailing Address - State:NY
Mailing Address - Zip Code:11767-1501
Mailing Address - Country:US
Mailing Address - Phone:631-979-3597
Mailing Address - Fax:
Practice Address - Street 1:17 BARKLEY LN
Practice Address - Street 2:
Practice Address - City:NESCONSET
Practice Address - State:NY
Practice Address - Zip Code:11767-1501
Practice Address - Country:US
Practice Address - Phone:634-979-3597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist