Individual
ANTHONY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
301 MAPLE AVE, SMITHTOWN, NY 11787-4900
(631) 543-0004
(631) 864-5428
Mailing address
14 CLINTON AVE, SAINT JAMES, NY 11780-1711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012763
NY
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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