Chang, Diane
Chang, Diane is an sole proprietor health care provider with primary practice located at 70 E 10Th St Apt 1F , New York NY 10003-5105. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Chang, Diane can be contacted via phone (212) 673-5650.Contact Information
Primary practice address
70 E 10Th St Apt 1F
New York NY 10003-5105
Phone: (212) 673-5650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MT193100 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 257294 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D79306 | Maryland |
Profile Details
| NPI number | 1588826168 |
|---|---|
| LBN Legal business name | Chang, Diane |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jul 1st, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588826168 | NPPES |
| Maryland | MEDICAID | 094298700 | |
| Maryland | Other | 416850ZFRZ | |
| Maryland | Other | 416850ZZFXB |
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