MEDICARE: CHRISTINE 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	2291261	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477529857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CHANG MD

Provider Business Mailing Address
First Line	:	PO BOX 28082
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-8082
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:	212-731-5210

Provider Business Practice Location Address
First Line	:	1440 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6508
Country	:	US
Telephone Number	:	212-659-8552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	10/28/2014

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Directions to “ CHRISTINE CHANG MD” Practice Location

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