Organization
KEITH C. CHANG, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH CHANG MD (PHYSICIAN IN CHARGE)
(212) 965-8883
Entity
Organization
Contact information
Practice address
217 GRAND ST, SUITE 302, NEW YORK, NY 10013-4286
(212) 965-8883
(212) 965-8878
Mailing address
PO BOX 1240, NEW YORK, NY 10276-1240
(212) 965-8883
(212) 965-8878
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
193442
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01629038
—
NY
Enumeration date
06/11/2007
Last updated
11/03/2007
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