Individual
DR. JERRY W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 742-4716
Mailing address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 742-4716
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
239779
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
257199
NY
Other
Enumeration date
02/28/2008
Last updated
05/28/2014
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