# JOHN B. CHANG,MDPC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D/B/A Long Island Vascular Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154307262
- **Authorized official:** DR. LUCY CHANG MD (VICE-PRESIDENT)
- **Authorized official phone:** (516) 484-3430

## Contact information

- **Practice address:** 1050 NORTHERN BLVD, ROSLYN, NY 11576-1503
- **Practice address phone:** (516) 484-3430
- **Practice address fax:** (516) 484-3482
- **Mailing address:** 1050 NORTHERN BLVD, ROSLYN, NY 11576-1503
- **Mailing address phone:** (516) 484-3430
- **Mailing address fax:** (516) 484-3482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 03/08/2010