Elizabeth C Fungkhee, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11689 Issued in NY

Practice address

126 N Franklin St
Hempstead, NY 11550-1318

Phone

(516) 486-7200

Fax

(516) 486-7291

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1699107599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501318",
            "telephone_number": "516-486-7200",
            "fax_number": "516-486-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N FRANKLIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501318",
            "telephone_number": "516-486-7200",
            "fax_number": "516-486-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNGKHEE",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "11689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC",
            "identifier": "11689",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.