Jackson, Carolyn Chang

Jackson, Carolyn Chang is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jackson, Carolyn Chang can be contacted via phone (212) 639-5966.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Phone: (212) 639-5966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 264002 New York
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 264002 New York

Profile Details

NPI number 1326306184
LBN Legal business name Jackson, Carolyn Chang
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Apr 30th, 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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