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Individual

DR. MICHAEL FUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBCHB

Contact information

Practice address
3435 MAIN ST, 160 FARBER HALL, BUFFALO, NY 14214-3001
(716) 829-2070
Mailing address
95 SPRING MEADOW DR, APT 19, WILLIAMSVILLE, NY 14221-8415
(716) 632-6002

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
002696-1
NY

Other

Enumeration date
02/18/2007
Last updated
07/08/2007
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