| Peter Y. Chang,m.d.,f.a.c.g.,llc | |
|
55 Old Turnpike Road Suite 605 Nanuet NY 10954 | |
| (845) 623-8400 | |
| (845) 623-2451 |
| Full Name | Peter Y. Chang,m.d.,f.a.c.g.,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 55 Old Turnpike Road, Nanuet, New York |
| Authorized Official Name and Position | Peter Y Chang (PRESIDENT) |
| Authorized Official Contact | 8456238400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Y. Chang,m.d.,f.a.c.g.,llc 55 Old Turnpike Road Suite 605 Nanuet NY 10954 Ph: (845) 623-8400 | Peter Y. Chang,m.d.,f.a.c.g.,llc 55 Old Turnpike Road Suite 605 Nanuet NY 10954 Ph: (845) 623-8400 |
| NPI Number | 1881787703 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234020082 |
|---|---|
| Medicare Enrollment ID | O20040322001839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881787703 | NPI | - | NPPES |
| 01632535 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 171437 (New York) | Primary |
| Provider Name | Peter Y Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366426264 PECOS PAC ID: 1759354509 Enrollment ID: I20040818001220 |
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