Individual
DR. JONG MOON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 466-8153
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
152504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01007478
—
NY
Enumeration date
11/09/2006
Last updated
03/15/2013
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