Basic Information
| Provider Information | |||||||||
| NPI: | 1598780421 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHEY | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | Y | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., D.SC. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | CHEY | ||||||||
| OtherFirstName: | WOO | ||||||||
| OtherMiddleName: | YOON | ||||||||
| OtherNamePrefix: | DR. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D., D.SC. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 222 ALEXANDER ST | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146074047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853252390 | ||||||||
| FaxNumber: | 5853254813 | ||||||||
| Practice Location | |||||||||
| Address1: | 222 ALEXANDER ST | ||||||||
| Address2: | SUITE 3100 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146074047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853252390 | ||||||||
| FaxNumber: | 5853254813 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | A109228-1 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 00272371 | 05 | NY | MEDICAID | 7182174 | 01 | NY | AETNA PROVIDER NUMBER | OTHER | 000588145003 | 01 | NY | BC/BS WESTERN PROVIDER NU | OTHER | 0032208 | 01 | NY | GHI PROVIDER NUMBER | OTHER | 102166BT | 01 | NY | PREFERRED CARE PROVIDER N | OTHER | G0187459590 | 01 | NY | EXCELLUS/HMO GROUP NUMBER | OTHER |