Individual
VINCENT CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1299 PORTLAND AVE STE 3, ROCHESTER, NY 14621-2727
(585) 922-5520
(585) 922-5526
Mailing address
1425 PORTLAND AVE STE 6, ROCHESTER, NY 14621-3001
(585) 922-5525
(585) 922-5526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
158925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01080006
—
NY
Enumeration date
07/17/2006
Last updated
05/11/2021
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