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Individual

NELSON CHAN HUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, BOX 242, ROCHESTER, NY 14621-3001
(585) 922-5067
(585) 922-2908

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
003209-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03036486
NY
01
245697
MVP
NY
01
P010003209
BLUE CHOICE
NY
01
P020003209
BLUE SHIELD
NY
Enumeration date
04/26/2007
Last updated
08/30/2022
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