Individual
MASON CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1951 STEWART AVE, NEW HYDE PARK, NY 11040-1625
(516) 260-1043
Mailing address
1951 STEWART AVE, NEW HYDE PARK, NY 11040-1625
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
282054
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
12/18/2019
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