Healthcare Provider Details

I. General information

NPI: 1932438835
Provider Name (Legal Business Name): MATTHEW CHIANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2009
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 NORTHERN BLVD STE 300
GREAT NECK NY
11021-5323
US

IV. Provider business mailing address

825 NORTHERN BLVD STE 300
GREAT NECK NY
11021-5323
US

V. Phone/Fax

Practice location:
  • Phone: 516-773-4500
  • Fax:
Mailing address:
  • Phone: 516-773-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number337876
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: