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Individual

FREDERICK LING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4751
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
192936
NY
207RI0011X
Interventional Cardiology Physician
Primary
192936
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000404360501
UNIVERA
NY
01
005241961
BC/BS OF WESTERN NY
NY
05
01426911
NY
01
060029635
MEDICARE RAILROAD
NY
01
2190421
INDEPENDENT HEALTH
NY
01
2846
BLUE SHIELD
NY
01
5102395
AETNA
NY
01
MD496V
PREFERRED CARE
NY
01
P010192936
BLUE CHOICE
NY
Enumeration date
06/13/2006
Last updated
07/03/2023
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