| Doctor Name: | DR. DAVID FUNARI |
| NPI Number: | 1053469197 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 4986 |
| Business Practice Address: | 551 Bay Rd Queensbury, NY - 128041441 |
| Business Phone Number: | 5187985046 |
| Business Fax Number: | 5187984255 |
| Mailing Address: | 1870 County Route 31, GRANVILLE |
| State: | NY |
| Postal Code: | 128324305 |
| Phone Number: | 5186421631 |
| Fax Number: | |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |