Individual
DR. CHENG SHUNG FU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6636 MAIN ST, STE 1, WILLIAMSVILLE, NY 14221-5967
(716) 633-0540
(716) 633-0543
Mailing address
6636 MAIN ST, STE 1, WILLIAMSVILLE, NY 14221-5967
(716) 633-0541
(716) 633-8889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
118876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010058601
UNIVERA
NY
05
—
00592003
—
NY
01
—
0400556
INDEPENDANT HEALTH
NY
01
—
5068341
COMMUNITY BLUE
NY
Enumeration date
05/17/2006
Last updated
10/13/2019
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