Funk Valois, Deborah Lisa

Funk Valois, Deborah Lisa is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Funk Valois, Deborah Lisa can be contacted via phone (607) 547-4762.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-4762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 209676-1 New York

Profile Details

NPI number 1265424394
LBN Legal business name Funk Valois, Deborah Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265424394 NPPES
New York MEDICAID 01961559

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