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Individual

MS. CHRISTINE JINGWEN CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, NP-C, FNP-BC

Contact information

Practice address
545 1ST AVE, NEW YORK, NY 10016-6401
(212) 263-6696
(646) 754-7057
Mailing address
696 FRICK ST, ELMONT, NY 11003-4135
(917) 355-6554

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10170968
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14202227
CAQH
NY
01
F342446-1
FNP LICENSE
NY
Enumeration date
12/17/2017
Last updated
04/27/2025
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