Individual
DR. JOHN CHU-HONG CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 N MIDDLETOWN RD, PEARL RIVER, NY 10965-2029
(845) 735-5666
(845) 735-5673
Mailing address
169 N MIDDLETOWN RD, PEARL RIVER, NY 10965-2029
(845) 735-5666
(845) 735-5673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
225687-1
NY
207W00000X
Ophthalmology Physician
Primary
225687
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02362274
—
NY
01
—
132998987
TAX ID
NY
01
—
P00014839
PALMETTO GBA RAILROAD MEDICARE
NY
Enumeration date
05/23/2005
Last updated
04/05/2017
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