| Cheng Shung Fu, M.d., P.c. | |
|
6636 Main Street Suite 1 Williamsville NY 14221-5967 | |
| (716) 633-0541 | |
| (716) 633-0543 |
| Full Name | Cheng Shung Fu, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6636 Main Street, Williamsville, New York |
| Authorized Official Name and Position | Philip Fu (PRESIDENT) |
| Authorized Official Contact | 7166330541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheng Shung Fu, M.d., P.c. 6636 Main Street Suite 1 Williamsville NY 14221-5967 Ph: (716) 633-0541 | Cheng Shung Fu, M.d., P.c. 6636 Main Street Suite 1 Williamsville NY 14221-5967 Ph: (716) 633-0541 |
| NPI Number | 1922298512 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 11/22/2018 |
| Medicare PECOS PAC ID | 6800950627 |
|---|---|
| Medicare Enrollment ID | O20090122000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922298512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cheng S Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730132366 PECOS PAC ID: 9739243551 Enrollment ID: I20090122000616 |
| Provider Name | Gracie Min-mei Lin Fu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144273004 PECOS PAC ID: 4880758622 Enrollment ID: I20090123000074 |
| Provider Name | Philip David Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285877050 PECOS PAC ID: 0648436345 Enrollment ID: I20120725000142 |
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