# KEITH C. CHANG, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851595383
- **Authorized official:** DR. KEITH CHANG MD (PHYSICIAN IN CHARGE)
- **Authorized official phone:** (212) 965-8883

## Contact information

- **Practice address:** 217 GRAND ST, SUITE 302, NEW YORK, NY 10013-4286
- **Practice address phone:** (212) 965-8883
- **Practice address fax:** (212) 965-8878
- **Mailing address:** PO BOX 1240, NEW YORK, NY 10276-1240
- **Mailing address phone:** (212) 965-8883
- **Mailing address fax:** (212) 965-8878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 193442 | NY | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 11/03/2007