Individual
DR. HEATHER S. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A103063
CA
207W00000X
Ophthalmology Physician
MD448260
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
287240
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD448260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04679407
—
NY
01
—
J400367669
MEDICARE PTAN
NY
Enumeration date
08/28/2007
Last updated
11/16/2018
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