MEDICARE: DR. VICTOR CHIANG DMD, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	059443	NY

General Provider Information

NPI Number	:	1184142002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTOR CHIANG DMD, MS

Provider Business Mailing Address
First Line	:	301 CATHEDRAL PKWY APT 5E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-4061
Country	:	US
Telephone Number	:	917-442-1135
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 BOWERY FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-4915
Country	:	US
Telephone Number	:	212-274-0477
Fax Number	:	212-274-0499

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

Provider Enumeration Date	:	08/30/2017
Last Update Date	:	08/30/2017

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