MR. PETER WILLIAM IP FUNG CHUN


Address: 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203
Phone: 6476082983

MR. PETER WILLIAM IP FUNG CHUN (NPI# 1821658873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821658873
Entity Type Individual
Full Name MR. PETER WILLIAM IP FUNG CHUN
Credential MD
Practice Address 1001 Main Street, Room 5145
Division of Pediatric Medical Education
Buffalo
NY 14203
Practice Telephone 6476082983
Practice Fax Number 4165832442
Mailing Telephone 6476082983
Mailing Fax Number 4165832442
Enumeration Date 2019-06-20
Last Update Date 2020-07-01
NPI Deactivation Date 02/05/2020
NPI Reactivation Date 2020-07-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program NY Student, Health Care

Office Location

Street Address 1001 MAIN STREET, ROOM 5145
DIVISION OF PEDIATRIC MEDICAL EDUCATION
City BUFFALO
State NY
Zip Code 14203

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NPI Name Taxonomy Address Enumeration
1912514902 Valerie Anne Conley Counselor 475 Elllicott St., Buffalo, NY 14203 2020-09-24
1457975674 Qing Ma Pharmacist Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 2020-06-03
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1013538917 Leen Hosam Alyacoub Student in an Organized Health Care Education/Training Program 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 2020-05-01
1003436601 Maxiam Dean Student in an Organized Health Care Education/Training Program Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 2020-04-23
1144849837 Jennifer Anthone-kloss Student in an Organized Health Care Education/Training Program Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2020-04-13
1770143653 Owen L Mayer Student in an Organized Health Care Education/Training Program University At Buffalo Anesthesiology Residency Program, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2019-06-13
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427655273 Daniel Edwards Student in an Organized Health Care Education/Training Program 52 Angle St Uppr, Buffalo, NY 14214-1139 2020-10-05
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1356964043 Andrew Buck Student in an Organized Health Care Education/Training Program 3435 Main St # 119, Buffalo, NY 14214-3001 2020-05-28
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
Find all providers in BUFFALO

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City BUFFALO
Zip Code 14203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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