MEDICARE: NEAL CHUANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	204038	NY

General Provider Information

NPI Number	:	1285695684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL CHUANG MD

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:	585-922-3260
Fax Number	:	585-922-3261

Provider Business Practice Location Address
First Line	:	1415 PORTLAND AVE STE 240
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-3022
Country	:	US
Telephone Number	:	585-922-3260
Fax Number	:	585-922-3261

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/10/2024

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