Individual
EUNYOUNG CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED/SPED
Contact information
Practice address
4027 172ND ST, FLUSHING, NY 11358-2723
(212) 960-3613
Mailing address
4027 172ND ST, FLUSHING, NY 11358-2723
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
176413071
NY
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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