Individual
HYESOOK CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5645 MAIN ST, LOWER LEVEL, FLUSHING, NY 11355-5045
(718) 670-2648
(718) 445-9846
Mailing address
5645 MAIN ST, LOWER LEVEL, FLUSHING, NY 11355-5045
(718) 670-2648
(718) 445-9846
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
229867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02674019
—
NY
01
—
229867
NYS LICENSE
NY
Enumeration date
07/25/2006
Last updated
02/27/2008
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