Individual
MR. RYAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
282 KELLER AVE, ELMONT, NY 11003-3111
(516) 406-9048
Mailing address
282 KELLER AVE, ELMONT, NY 11003-3111
(516) 406-9048
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403259
NY
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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