Chang, Jerry Sheng-Chieh

Chang, Jerry Sheng-Chieh is an individual health care provider with primary practice located at 101 Saint Andrews Ln North Shore Lij Glen Cove Hospital, Dept Of Radiology, Glen Cove NY 11542-2254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Chang, Jerry Sheng-Chieh can be contacted via phone (516) 674-7540.

Contact Information

Primary practice address
101 Saint Andrews Ln North Shore Lij Glen Cove Hospital, Dept Of Radiology Glen Cove NY 11542-2254
Fax: (516) 674-7546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 227651 New York

Profile Details

NPI number 1316902026
LBN Legal business name Chang, Jerry Sheng-Chieh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 31st, 2008 - about 16 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 1316902026 NPPES
New Jersey MEDICAID 0065064

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