Individual
NICOLE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7529 PARSONS BLVD # 1437, FRESH MEADOWS, NY 11366-1037
(917) 837-3862
Mailing address
7529 PARSONS BLVD # 1437, FRESH MEADOWS, NY 11366-1037
(917) 837-3862
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404417
NY
Other
Enumeration date
08/29/2022
Last updated
05/13/2024
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