Individual
DR. PETER YOUK-TWOO CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 OLD TURNPIKE RD, SUITE 605, NANUET, NY 10954-2461
(845) 623-8400
(845) 623-2451
Mailing address
10 FIELDCREST DR, NEW CITY, NY 10956-5439
(845) 623-8400
(845) 623-2451
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
171437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01632535
—
NY
Enumeration date
12/05/2005
Last updated
12/20/2013
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