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Individual

DR. CHESTER NAKAMURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-0447
Mailing address
4 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-0447

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212285
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000915846004
HEALTH NOW
NY
05
01910883
NY
01
101791BJ
PREFERRED CARE
01
212285
PREFERRED CARE
NY
01
2593316
GHI
NY
01
361866500
WORKERS COMPENSATION
NY
01
7313293
AETNA
NY
01
810600635
TAX ID
NY
01
EMPIRE
810600635
NY
01
P00018133
RAILROAD MEDICARE
01
P010212285
BLUE CHOICE
NY
01
P010212285
BLUE CHOICE
01
P020212285
ROCHESTER BLUE SHIELD
Enumeration date
09/14/2006
Last updated
12/16/2022
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