MEDICARE: MARGARITA CHANG FNP

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	363LF0000X	Family Nurse Practitioner	342733	NY

General Provider Information

NPI Number	:	1841793155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARITA CHANG FNP

Provider Business Mailing Address
First Line	:	5115 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2806
Country	:	US
Telephone Number	:	718-988-2288
Fax Number	:	917-730-9023

Provider Business Practice Location Address
First Line	:	5115 7TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2806
Country	:	US
Telephone Number	:	718-988-2288
Fax Number	:	917-730-9023

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

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	01/28/2026

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