Individual
SANDERS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 BROADWAY RM C6-10, ELMHURST, NY 11373-1329
(718) 334-3440
Mailing address
7901 BROADWAY RM C6-10, ELMHURST, NY 11373-1329
(718) 334-3440
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A194369
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A194369
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
07/17/2024
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