Chang, Yong Tae

Chang, Yong Tae is an individual health care provider with primary practice located at 1 Pathmark Plz , Mount Vernon NY 10550-3518. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Chang, Yong Tae can be contacted via phone (914) 668-5989.

Contact Information

Primary practice address
1 Pathmark Plz Mount Vernon NY 10550-3518
Phone: (914) 668-5989
Fax: (914) 668-6005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 039818 New York

Profile Details

NPI number 1730350455
LBN Legal business name Chang, Yong Tae
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Feb 27th, 2012 - about 13 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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