Provider Demographics
NPI:1881935195
Name:FUNG, SHIRMA (MSW)
Entity type:Individual
Prefix:
First Name:SHIRMA
Middle Name:
Last Name:FUNG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 HINSDALE ST
Mailing Address - Street 2:APT. E327
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-4518
Mailing Address - Country:US
Mailing Address - Phone:718-385-0267
Mailing Address - Fax:
Practice Address - Street 1:14040 SANFORD AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2556
Practice Address - Country:US
Practice Address - Phone:718-939-7160
Practice Address - Fax:718-939-2533
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker