National Provider Identifier

Yong Baek Chi, M.D.

Yong Baek Chi, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Newfane, NY and a listed phone number of (716) 778-9100.

NPI 1629096003Newfane, NYInternal Medicine Physician

Profile Overview

NPI
1629096003
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
July 17, 2006
Last Updated
November 04, 2024

Practice Location

  • 6040 Edward Ave
  • Newfane, NY 14108-1009

Phone: (716) 778-9100

Mailing Address

  • 14524 Trails Edge Blvd
  • Odessa, FL 33556

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1629096003
Entity Type
Individual
Last Name
Chi
First Name
Yong
Middle Name
Baek
Credential
M.D.
Mailing Street Address
14524 Trails Edge Blvd
Mailing City
Odessa
Mailing State
FL
Mailing ZIP Code
33556
Mailing Country
US
Mailing Phone
(716) 807-8322
Mailing Fax
(716) 778-9102
Practice Street Address
6040 Edward Ave
Practice City
Newfane
Practice State
NY
Practice ZIP Code
14108-1009
Practice Country
US
Practice Phone
(716) 778-9100
Practice Fax
(716) 778-9102
Enumeration Date
July 17, 2006
Last Updated
November 04, 2024
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
00930561 (NY)