Healthcare Provider Details

I. General information

NPI: 1053712273
Provider Name (Legal Business Name): ANDREW CHANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2014
Last Update Date: 09/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 FOREST AVE
GLEN COVE NY
11542
US

IV. Provider business mailing address

225 FOREST AVE
GLEN COVE NY
11542
US

V. Phone/Fax

Practice location:
  • Phone: 516-759-1201
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number057765
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: