Individual
DR. ELEANOR C. FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1208 NIAGARA FALLS BLVD, TONAWANDA, NY 14150-8924
(716) 833-7112
(168) 337-1507
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(203) 944-1940
(203) 916-1041
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
289393
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131541
—
OH
05
—
04848500
—
NY
Enumeration date
03/20/2015
Last updated
11/07/2019
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