Individual
DR. HAN TONY GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
290954
NY
207P00000X
Emergency Medicine Physician
Primary
A154520
CA
207P00000X
Emergency Medicine Physician
S7052
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411837401
—
TX
01
—
411837402
CSHCN MEDICAID
TX
Enumeration date
05/06/2015
Last updated
01/27/2025
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