Individual
JONATHAN MT CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5303 8TH AVE, BROOKLYN, NY 11220-3201
(718) 972-1777
(718) 854-7086
Mailing address
5303 8TH AVE, BROOKLYN, NY 11220-3201
(718) 972-1777
(888) 815-1263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01704241
—
NY
Enumeration date
06/09/2006
Last updated
11/09/2024
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