MEDICARE: YUANHSI N CHANG

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	225X00000X	Occupational Therapist	018728	NY

General Provider Information

NPI Number	:	1164285326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUANHSI N CHANG

Provider Business Mailing Address
First Line	:	191 WILLOUGHBY ST APT 3D
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5441
Country	:	US
Telephone Number	:	617-852-1458
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3718
Country	:	US
Telephone Number	:	718-492-0087
Fax Number	:

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

Provider Enumeration Date	:	01/31/2024
Last Update Date	:	02/02/2026

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