Chang, Edwin M

Chang, Edwin M is an individual health care provider with primary practice located at 1099 Targee St , Staten Island NY 10304-4310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Chang, Edwin M can be contacted via phone (718) 448-3210.

Contact Information

Primary practice address
1099 Targee St Staten Island NY 10304-4310
Phone: (718) 448-3210
Fax: (718) 815-3379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 1752211 New York
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MA52820 New Jersey

Profile Details

NPI number 1356322697
LBN Legal business name Chang, Edwin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jun 24th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356322697 NPPES
New York MEDICAID 01512041
New York Other 130016692

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