Individual
BOB CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1991 MARCUS AVE, NEW HYDE PARK, NY 11042-2057
(516) 467-8730
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046782
NY
Other
Enumeration date
12/12/2020
Last updated
03/23/2023
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