Individual
COREY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2200 NORTHERN BLVD STE 104, GREENVALE, NY 11548-1220
(908) 902-8605
Mailing address
82 BOYD ST, NEWARK, NJ 07103-2501
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
309581-01
NY
Other
Enumeration date
05/13/2016
Last updated
08/17/2023
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