Individual
CAROL CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1650 SELWYN AVE APT 1C, BRONX, NY 10457-7628
(718) 960-1397
Mailing address
166 W 75TH ST APT 1102, NEW YORK, NY 10023-1979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008440
NY
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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