Chang, Mark
Chang, Mark is an individual health care provider with primary practice located at 2 Medical Park Dr. , West Nyac NY 10994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chang, Mark can be contacted via phone (845) 354-5000.Contact Information
Primary practice address
2 Medical Park Dr.
West Nyac NY 10994
Phone: (845) 354-5000
Fax: (845) 354-9469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 240243-1 | New York |
Profile Details
| NPI number | 1356564934 |
|---|---|
| LBN Legal business name | Chang, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | May 18th, 2012 - about 12 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 | 1356564934 | NPPES |
| New York | MEDICAID | 02889150 | |
| New York | Other | MC005S3071 |
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