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Organization
JOHN B. CHANG,MDPC
Active
Organization
JOHN B. CHANG,MDPC
Active
Other names
D/B/A Long Island Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCY CHANG MD (VICE-PRESIDENT)
(516) 484-3430
Entity
Organization
Contact information
Practice address
1050 NORTHERN BLVD, ROSLYN, NY 11576-1503
(516) 484-3430
(516) 484-3482
Mailing address
1050 NORTHERN BLVD, ROSLYN, NY 11576-1503
(516) 484-3430
(516) 484-3482
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
03/08/2010
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