Individual
MR. CHANG (KENNY) JIAN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, BC
Contact information
Practice address
2266 CROPSEY AVE, BROOKLYN, NY 11214-5706
(718) 266-6100
(718) 265-3344
Mailing address
1832 84TH ST, BROOKLYN, NY 11214-2915
(917) 282-7683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333761
NY
Other
Enumeration date
09/29/2006
Last updated
09/27/2022
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