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Individual

DR. DANIEL SIU CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., P.C.

Contact information

Practice address
317 MADISON AVE RM 906, NEW YORK, NY 10017-5244
(212) 818-0322
Mailing address
51 FIELDSTONE DR, SYOSSET, NY 11791-4108
(516) 921-4035

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040395
NY

Other

Enumeration date
09/26/2006
Last updated
04/18/2010
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