Individual
CODY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3249 KINGSBRIDGE AVE, BRONX, NY 10463-5514
(646) 204-2295
Mailing address
150 MYRTLE AVE APT 1905, BROOKLYN, NY 11201-2916
(917) 579-8788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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