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Organization

PETER Y. CHANG,M.D.,F.A.C.G.,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER Y CHANG M.D. (PRESIDENT)
(845) 623-8400
Entity
Organization

Contact information

Practice address
55 OLD TURNPIKE ROAD, SUITE 605, NANUET, NY 10954
(845) 623-8400
(845) 623-2451
Mailing address
55 OLD TURNPIKE ROAD, SUITE 605, NANUET, NY 10954
(845) 623-8400
(845) 623-2451

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
171437
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01632535
NY
Enumeration date
10/02/2006
Last updated
08/22/2020
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