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NPI Code Detail

MEDICARE: BENJAMIN CHANG MD

MEDICARE: BENJAMIN CHANG MD
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
1207W00000XOphthalmology Physician1935731NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598756793
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN CHANG MD
Provider Business Mailing Address
First Line : 450 ENDO BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-6723
Country : US
Telephone Number : 516-832-8000
Fax Number : 516-832-8379
Provider Business Practice Location Address
First Line : 450 ENDO BLVD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-6723
Country : US
Telephone Number : 516-832-8000
Fax Number : 516-832-8379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 10/12/2010

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