Individual
DR. MARIANA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
577 PROSPECT AVE APT 1B, BROOKLYN, NY 11215-6074
(718) 369-0318
(718) 369-0290
Mailing address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 276-7147
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
329246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07909497
—
NY
01
—
A400358353
MEDICARE
NY
Enumeration date
04/01/2019
Last updated
10/04/2024
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