Chang, Vincent

Chang, Vincent is an individual health care provider with primary practice located at 1299 Portland Ave Ste 3 , Rochester NY 14621-2727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chang, Vincent can be contacted via phone (585) 922-5520.

Contact Information

Primary practice address
1299 Portland Ave Ste 3 Rochester NY 14621-2727
Fax: (585) 922-5526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 158925 New York

Profile Details

NPI number 1386662591
LBN Legal business name Chang, Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated May 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386662591 NPPES
New York MEDICAID 01080006

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