Individual
CHAN NYEIN THIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7870
Mailing address
615 53RD ST, BROOKLYN, NY 11220-2811
(203) 528-6626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
323624
NY
208M00000X
Hospitalist Physician
Primary
323624
NY
Other
Enumeration date
05/12/2020
Last updated
11/15/2023
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