Provider Demographics
NPI:1770695215
Name:HSU, CHAO-YU YU (MD)
Entity type:Individual
Prefix:
First Name:CHAO-YU
Middle Name:YU
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 E RIDGE RD
Mailing Address - Street 2:RGH NEPHROLOGY @ SENECA RIDGE
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-1240
Mailing Address - Country:US
Mailing Address - Phone:585-922-0400
Mailing Address - Fax:585-922-0455
Practice Address - Street 1:370 E RIDGE RD
Practice Address - Street 2:RGH NEPHROLOGY @ SENECA RIDGE
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-1240
Practice Address - Country:US
Practice Address - Phone:585-922-0400
Practice Address - Fax:585-922-0455
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263421207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02888719Medicaid
NYJ400145915Medicare PIN
NY02888719Medicaid
NYJ100058113/WNYMedicare PIN
NYJ400145894Medicare PIN
NY01131126/RGHMedicaid
NY70005A/RGHMedicare PIN