Organization
RETINA SPECIALIST OF THE FINGER LAKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHI-HWA WILLIAM CHANG MD (PRESIDENT)
(585) 254-2260
Entity
Organization
Contact information
Practice address
2300 BUFFALO RD, BLDG 700B, ROCHESTER, NY 14624-1360
(585) 254-2260
(585) 254-4035
Mailing address
2300 BUFFALO RD, BLDG 700B, ROCHESTER, NY 14624-1360
(585) 254-2260
(585) 254-4035
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
199170
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02527553
—
NY
01
—
G0189901590
BLUE CHOICE
—
Enumeration date
09/08/2005
Last updated
08/22/2020
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