Chang, Keith C
Chang, Keith C is an sole proprietor health care provider with primary practice located at 217 Grand St # 302 , New York NY 10013-4223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chang, Keith C can be contacted via phone (212) 965-8883.Contact Information
Primary practice address
217 Grand St # 302
New York NY 10013-4223
Phone: (212) 965-8883
Fax: (212) 965-8878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 193442 | New York |
Profile Details
| NPI number | 1588703995 |
|---|---|
| LBN Legal business name | Chang, Keith C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Nov 19th, 2007 - about 18 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 | 1588703995 | NPPES |
| New York | Other | 193442 | LICENSE |
| New York | MEDICAID | 01629038 | LICENSE |
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