National Provider Identifier

Tian Yue Song, MD

Tian Yue Song, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (718) 663-1898.

NPI 1568099760Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1568099760
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 26, 2020
Last Updated
March 19, 2023

Practice Location

  • 601 Elmwood Ave # 629
  • Rochester, NY 14642-0001

Phone: (718) 663-1898

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1568099760
Entity Type
Individual
Last Name
Song
First Name
Tian Yue
Credential
MD
Provider Other Last Name
Song
Provider Other First Name
Allison
Provider Other Credential Text
MD
Provider Other Last Name Type Code
5
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 758-5700
Practice Street Address
601 Elmwood Ave # 629
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(718) 663-1898
Enumeration Date
March 26, 2020
Last Updated
March 19, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)