Individual
BETTY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 58TH ST, 1ST FL, BROOKLYN, NY 11219-4427
(917) 770-1339
Mailing address
1049 58TH ST, 1ST FL, BROOKLYN, NY 11219-4427
(917) 770-1339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298185-1
NY
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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