Individual
JACQUELINE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 COURT ST, BROOKLYN, NY 11201-4343
(718) 551-0591
Mailing address
159 COURT ST, BROOKLYN, NY 11201-4343
(718) 551-0591
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
008357
NY
Other
Enumeration date
07/02/2014
Last updated
10/11/2016
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