Individual
DR. KEVIN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
125 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(516) 568-4444
Mailing address
97 NELSON ST, FARMINGDALE, NY 11735-4227
(516) 724-5847
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
047852-01
NY
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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