National Provider Identifier
Shavin Marissa Fung
Shavin Marissa Fung is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 884-0700.
Profile Overview
- NPI
- 1184199697
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- October 11, 2018
- Last Updated
- October 11, 2018
Practice Location
- 1050 Niagara St
- Buffalo, NY 14213-2007
Phone: (716) 884-0700
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1184199697
- Entity Type
- Individual
- Last Name
- Fung
- First Name
- Shavin
- Middle Name
- Marissa
- Mailing Street Address
- 1050 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2007
- Mailing Country
- US
- Mailing Phone
- (716) 884-0700
- Mailing Fax
- (716) 884-0631
- Practice Street Address
- 1050 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2007
- Practice Country
- US
- Practice Phone
- (716) 884-0700
- Practice Fax
- (716) 884-0631
- Enumeration Date
- October 11, 2018
- Last Updated
- October 11, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)