Healthcare Provider Details

I. General information

NPI: 1437346095
Provider Name (Legal Business Name): GLOBAL MEDICAL ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 ELIZABETH STREET SUITE 203
NEW YORK NY
10013-4637
US

IV. Provider business mailing address

41 ELIZABETH STREET SUITE 203
NEW YORK NY
10013-4637
US

V. Phone/Fax

Practice location:
  • Phone: 212-334-9591
  • Fax: 212-334-9598
Mailing address:
  • Phone: 212-334-9591
  • Fax: 212-334-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number207546
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number217510
License Number StateNY

VIII. Authorized Official

Name: DR. YA JU CHANG
Title or Position: OWNER
Credential: MD
Phone: 212-334-9592