Organization
BRIAN Y CHANGLAI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN YISHING CHANGLAI MD (PRESIDENT)
(315) 492-5769
Entity
Organization
Contact information
Practice address
4921 BRIARWOOD LN, MANLIUS, NY 13104-1307
(315) 637-5986
Mailing address
4921 BRIARWOOD LN, MANLIUS, NY 13104-1307
(315) 637-5986
(315) 492-5855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
147291
NY
207RC0000X
Cardiovascular Disease Physician
147291
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
147291
NY
Other
Enumeration date
11/22/2005
Last updated
08/11/2016
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