Keith C Chang Md Pllc | |
849 57th St Ste 3 Brooklyn NY 11220-3798 | |
(718) 872-5580 | |
(718) 872-5663 |
Full Name | Keith C Chang Md Pllc |
---|---|
Speciality | Clinic/center |
Location | 849 57th St Ste 3, Brooklyn, New York |
Authorized Official Name and Position | Sherine Ngoi (MANAGER) |
Authorized Official Contact | 2129658883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keith C Chang Md Pllc 849 57th St Ste 3 Brooklyn NY 11220-3798 Ph: (718) 872-5580 | Keith C Chang Md Pllc 849 57th St Ste 3 Brooklyn NY 11220-3798 Ph: (718) 872-5580 |
NPI Number | 1164762449 |
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Provider Enumeration Date | 02/22/2013 |
Last Update Date | 02/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164762449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 193442-1 (New York) | Primary |
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