Individual
TYLIS Y CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC - DEPT. OF PATHOLOGY, 1825 EASTCHESTER ROAD, BRONX, NY 10461
(718) 904-2861
Mailing address
3 ROCHELLE ST, BRONX, NY 10464-1606
(718) 904-2256
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
227271
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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