Basic Information
Provider Information
NPI: 1679884274
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DING
FirstName: YI
MiddleName:  
NamePrefix:  
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Credential: MD
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Mailing Information
Address1: 601 ELMWOOD AVE
Address2: URMC BOX 626
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852753184
FaxNumber: 5852762047
Practice Location
Address1: 601 ELMWOOD AVE BOX 626
Address2: UNIVERSITY OF ROCHESTER MEDICAL CENTER
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852753184
FaxNumber: 5852762047
Other Information
ProviderEnumerationDate: 06/29/2010
LastUpdateDate: 10/05/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZH0000X273234NYN Allopathic & Osteopathic PhysiciansPathologyHematology
207ZP0007X273234NYN Allopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology
207ZP0102X273234NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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