National Provider Identifier

Gracie Min-Mei Lin Fu, MD

Gracie Min-Mei Lin Fu, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 633-0542.

NPI 1144273004Williamsville, NYFamily Medicine Physician

Profile Overview

NPI
1144273004
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
May 19, 2006
Last Updated
September 28, 2007

Practice Location

  • 6636 Main St
  • Suite 1
  • Williamsville, NY 14221-5967

Phone: (716) 633-0542

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1144273004
Entity Type
Individual
Last Name
Lin Fu
First Name
Gracie
Middle Name
Min-Mei
Name Prefix
Mrs.
Credential
MD
Provider Other Last Name
Lin
Provider Other First Name
Gracie
Provider Other Middle Name
Min-Mei
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
MD
Provider Other Last Name Type Code
5
Mailing Street Address
6636 Main St
Mailing Address Line 2
Suite 1
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5967
Mailing Country
US
Mailing Phone
(716) 633-0542
Mailing Fax
(716) 633-0543
Practice Street Address
6636 Main St
Practice Address Line 2
Suite 1
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5967
Practice Country
US
Practice Phone
(716) 633-0542
Practice Fax
(716) 633-0543
Enumeration Date
May 19, 2006
Last Updated
September 28, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
00010105201 (NY, Univera), 000511291001 (NY, Community Blue), 0104154 (NY, Independent Health), 01343508 (NY)