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NPI Code Detail

MEDICARE: CHELSEA CHAE HEE YING

MEDICARE: CHELSEA CHAE HEE YING
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
1363LF0000XFamily Nurse Practitioner344629NY

General Provider Information

NPI Number : 1417500869
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA CHAE HEE YING
Provider Business Mailing Address
First Line : PO BOX 8000 DEPARTMENT 540
Second Line :
City : BUFFALO
State : NY
Zip : 14267-0002
Country : US
Telephone Number : 203-944-1940
Fax Number : 203-402-4192
Provider Business Practice Location Address
First Line : 1430 COLVIN BLVD
Second Line :
City : BUFFALO
State : NY
Zip : 14223-1440
Country : US
Telephone Number : 716-874-4060
Fax Number : 716-871-1198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 01/24/2020

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Directions to “ CHELSEA CHAE HEE YING ” Practice Location

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