Individual
LAWRENCE G. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MPH
Contact information
Practice address
645 MADISON AVE, NEW YORK, NY 10022-1010
(888) 636-7840
Mailing address
645 MADISON AVE, NEW YORK, NY 10022-1010
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
298140-01
NY
Other
Enumeration date
03/20/2017
Last updated
07/07/2022
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