Individual
CHANG HYUN MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 DOCK RD, EAST ISLIP, NY 11730-2905
(631) 277-4959
(631) 277-4959
Mailing address
132 DOCK RD, EAST ISLIP, NY 11730-2905
(631) 277-4959
(631) 277-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1105301
NY
Other
Enumeration date
09/22/2006
Last updated
07/17/2007
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