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Individual

ALYSSA MARIE CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1133 WESTCHESTER AVE, SUITE N-230, WHITE PLAINS, NY 10604-3516
(914) 576-5292
Mailing address
91 GLOVER AVE, YONKERS, NY 10704-4233
(914) 557-3724

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
884113141
NY

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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