Chang, Stanley
Chang, Stanley is an individual health care provider with primary practice located at 635 W 165Th St Box 92, New York NY 10032-3724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chang, Stanley can be contacted via phone (212) 305-3015.Contact Information
Primary practice address
635 W 165Th St Box 92
New York NY 10032-3724
Phone: (212) 305-3015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 124558 | New York |
Profile Details
| NPI number | 1639110307 |
|---|---|
| LBN Legal business name | Chang, Stanley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Aug 20th, 2013 - 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 | 1639110307 | NPPES |
| New York | MEDICAID | 00627716 |
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