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NPI Code Detail

MEDICARE: WINSHIH CHANG MD

MEDICARE: WINSHIH CHANG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist162277NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200045588OTHERNYRAILROAD MEDICARE
2P00017638OTHERNYRAILROAD MEDICARE

General Provider Information

NPI Number : 1396777298
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINSHIH CHANG MD
Provider Business Mailing Address
First Line : 664 STONELEIGH AVE STE 300
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-8400
Fax Number : 845-278-4326
Provider Business Practice Location Address
First Line : 664 STONELEIGH AVE STE 300
Second Line :
City : CARMEL
State : NY
Zip : 10512-3990
Country : US
Telephone Number : 845-278-8400
Fax Number : 845-278-4326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 11/19/2012

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Directions to “ WINSHIH CHANG MD” Practice Location

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