National Provider Identifier
Eleanor C. Fung, M.D.
Eleanor C. Fung, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in Tonawanda, NY and a listed phone number of (716) 833-7112.
Profile Overview
- NPI
- 1780078394
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- March 20, 2015
- Last Updated
- November 07, 2019
Practice Location
- 1208 Niagara Falls Blvd
- Tonawanda, NY 14150-8924
Phone: (716) 833-7112
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1780078394
- Entity Type
- Individual
- Last Name
- Fung
- First Name
- Eleanor
- Middle Name
- C.
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (203) 944-1940
- Mailing Fax
- (203) 916-1041
- Practice Street Address
- 1208 Niagara Falls Blvd
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-8924
- Practice Country
- US
- Practice Phone
- (716) 833-7112
- Practice Fax
- (168) 337-1507
- Enumeration Date
- March 20, 2015
- Last Updated
- November 07, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 0131541 (OH), 04848500 (NY)