MR. BROCTON FUNKE


Address: 333 Dexter Ter, Tonawanda, NY 14150-4747
Phone: 7169614050

MR. BROCTON FUNKE (NPI# 1316421654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316421654
Entity Type Individual
Full Name MR. BROCTON FUNKE
Credential LMSW
Practice Address 333 Dexter Ter
Tonawanda
NY 14150-4747
Practice Telephone 7169614050
Mailing Telephone 7169614050
Enumeration Date 2018-09-22
Last Update Date 2018-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
1264947181 NY Behavioral Health & Social Service Providers

Office Location

Street Address 333 DEXTER TER
City TONAWANDA
State NY
Zip Code 14150-4747

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316397862 Sally A Vicari Counselor 333 Dexter Ter, Tonawanda, NY 14150-4747 2016-06-15
1285234575 Janice Marie Diaz Social Worker 333 Dexter Ter, Tonawanda, NY 14150-4747 2020-10-27
1730707357 Monica Schaffstall Speech-Language Pathologist 333 Dexter Ter, Tonawanda, NY 14150-4747 2020-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891349338 Jennifer Legrand Dietitian, Registered 62 Raintree Is Apt 10, Tonawanda, NY 14150 2019-08-01
1245707934 Anthony John Dellavalle Emergency Medicine 341 Niagara Street, Tonawanda, NY 14150 2018-10-31
1871088450 Karen Mittlefehldt Physical Therapist 2540 Sheridan Drive, Tonawanda, NY 14150 2018-06-26
1871017194 Amanda Beth Mrzygut Emergency Medical Technician, Basic 269 Mapleview Dr, Tonawanda, NY 14150 2017-07-28
1700248648 Nathan Willett Technician, Other 432 Forbes Ave., Tonawanda, NY 14150 2016-03-21
1831555432 Safe Ride of Wny Inc Taxi 2813 Niagara St, Tonawanda, NY 14150 2016-01-12
1447509278 Nancy Lynne Haas Licensed Practical Nurse 173 Linwood Ave, Tonawanda, NY 14150 2012-09-07
1558646331 Nancy Cliff Registered Nurse 39 O'hara Rd, Tonawanda, NY 14150 2011-10-12
1801195979 Joann Mirabella Speech-Language Pathologist 313 Wrexham Ct. North, Tonawanda, NY 14150 2011-03-15
1841593829 Marie A Burger Social Worker 130 Syracuse St., Tonawanda, NY 14150 2010-12-13
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234575 Janice Marie Diaz Social Worker 333 Dexter Ter, Tonawanda, NY 14150-4747 2020-10-27
1730734575 Mary Rose Wittman Social Worker 100 Hinds St, Tonawanda, NY 14150-1815 2019-08-08
1962806810 Joelle Labert Social Worker 600 Fletcher St, Tonawanda, NY 14150-3616 2014-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710584891 Alliah Irtan Social Worker 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 2020-10-02
1144834045 Luis Steven Maisonet Social Worker 255 Porter Ave, Buffalo, NY 14201-1051 2020-09-08
1386258135 Kimberly Lama Khan Social Worker 301 Henry St Fl 1, New York, NY 10002-4840 2020-08-31
1801406327 Simone Curling Social Worker 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 2020-08-10
1720604622 Matthew Joseph Danis Social Worker 219 W 15th St Apt 1f, New York, NY 10011-6449 2020-06-17
1710512538 Carmen I Ramos Social Worker 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 2020-03-12
1134753429 Susan London Social Worker 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 2020-02-26
1952948432 Esmeralda Murati Social Worker 65 Tuckahoe Ave, Eastchester, NY 10709-3624 2019-12-04
1588209415 Tenisha Neil-robinson Social Worker Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 2019-11-14
1891345781 Danielle Tooley Social Worker 403 Broadway, Kingston, NY 12401-4625 2019-09-12
Find all providers with the same taxonomy

Competitor

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City TONAWANDA
Zip Code 14150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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