| 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 |
|---|---|
| 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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