Individual
DR. PETER Y CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 STEWART AVE, SUITE 2A, GARDEN CITY, NY 11530-4803
(516) 745-6900
(516) 745-6767
Mailing address
877 STEWART AVE, SUITE 2A, GARDEN CITY, NY 11530-4803
(516) 745-6900
(516) 745-6767
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
121389
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
121389
NY
Other
Enumeration date
11/28/2006
Last updated
12/27/2011
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