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NPI Code Detail

MEDICARE: ERIC WING

MEDICARE:   ERIC  WING
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 Practitioner358247NY

General Provider Information

NPI Number : 1891655015
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC WING
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3170 CHILI AVE STE T1A
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-5452
Country : US
Telephone Number : 585-571-2025
Fax Number : 585-571-2044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 02/09/2026

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Directions to “ ERIC WING ” Practice Location

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