NPI Registry.org

Katherin Funiciello

NPI Registration Record

Provider / OrganizationNPIDate Certified
KATHERIN FUNICIELLO12852026302023-01-21

Katherin Funiciello is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285202630. Registration indicates Katherin Funiciello is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)

Entity TypeIndividual
Provider Name Katherin Funiciello PA
Practice Office Address1425 PORTLAND AVE
ROCHESTER, NY US
Practice Office Telephone6317864437
Mailing Address21 POTTER ST
PATCHOGUE, NY 117724031 US
HPT Codes
CodePractice
License No
State
363AM0700XAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant: Medical

All Other Specialties & Provider Types

Physician Assistant Medical
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
027084
NY
363A00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician AssistantAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers
Physician Assistant
All Other Specialties & Provider Types

Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
OPI Codes
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