Provider Demographics
NPI:1952889222
Name:LEE, FUNG CHU (MSW-BILINGUAL)
Entity Type:Individual
Prefix:
First Name:FUNG CHU
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MSW-BILINGUAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2285 E 29TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-5056
Mailing Address - Country:US
Mailing Address - Phone:718-938-1525
Mailing Address - Fax:
Practice Address - Street 1:2285 E 29TH ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-5056
Practice Address - Country:US
Practice Address - Phone:718-938-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
NY0697401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical