Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 262319 | NY |
N | 2081S0010X | Sports Medicine | 262319 | NY |
N | 213ES0000X | Sports Medicine | 262319 | NY |
NPI | 1154648475 |
---|---|
Provider Name | Richard Ginlung Chang |
First Address | Brooklyn, NY 11203-2056 |
Second Address | Brooklyn, NY 11203-2056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 15/10/2015 |