Healthcare Provider Details

I. General information

NPI: 1770695215
Provider Name (Legal Business Name): CHAO-YU YU HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 E RIDGE RD RGH NEPHROLOGY @ SENECA RIDGE
ROCHESTER NY
14621-1240
US

IV. Provider business mailing address

370 E RIDGE RD RGH NEPHROLOGY @ SENECA RIDGE
ROCHESTER NY
14621-1240
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-0400
  • Fax: 585-922-0455
Mailing address:
  • Phone: 585-922-0400
  • Fax: 585-922-0455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number263421
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: