Individual
ELLEN J CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5570 XAVIER DR, YONKERS, NY 10704-1322
(914) 962-6600
Mailing address
5570 XAVIER DR, YONKERS, NY 10704-1322
(310) 923-1712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T13619
CA
152W00000X
Optometrist
Primary
TUV007437-1
NY
152WL0500X
Low Vision Rehabilitation Optometrist
T13619
CA
Other
Enumeration date
09/29/2008
Last updated
05/07/2010
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