Individual
BEVERLEY O CHANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-4708
(718) 245-4725
Mailing address
525 E 49TH ST, APT # 2, BROOKLYN, NY 11203-4344
(718) 753-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0104444
NY
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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