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Individual

BENJAMIN GEE CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 987-3901
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
221062
NY
207RP1001X
Pulmonary Disease Physician
Primary
221062
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
221062
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02600177
NY
Enumeration date
09/13/2005
Last updated
06/17/2016
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