Individual
JENNIFER SOOYON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27005 76TH AVE, DEPT. OF SURGERY, NEW HYDE PARK, NY 11040-1402
(718) 470-4475
Mailing address
1999 MARCUS AVE STE 106B, NEW HYDE PARK, NY 11042-1028
(516) 233-3701
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
276177
NY
Other
Enumeration date
04/19/2012
Last updated
07/23/2019
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