=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891172086
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HSUAN CHANG
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/27/2015
-----------------------------------------------------
Last Update Date | 04/27/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 236 2ND AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10003-2704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-361-3648
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | NO.37, LN. 82, PINGDE RD., BEITUN DIST.
-----------------------------------------------------
City | TAICHUNG CITY
-----------------------------------------------------
State | NEW YORK
-----------------------------------------------------
Zip | 40677
-----------------------------------------------------
Country | TW
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 019659
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------