Chang, Robert

Chang, Robert is an individual health care provider with primary practice located at 5 Palisades Dr Suite 210, Albany NY 12205-6433. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Chang, Robert can be contacted via phone (518) 348-0634.

Contact Information

Primary practice address
5 Palisades Dr Suite 210 Albany NY 12205-6433
Phone: (518) 348-0634
Fax: (518) 426-3221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 053589 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 247005 New York

Profile Details

NPI number 1306969415
LBN Legal business name Chang, Robert
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jun 21st, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306969415 NPPES
New York MEDICAID 02926121

Popular Providers