Gin Den William Chang, DO
Internal Medicine in Roslyn, NY. Individual provider (NPI-1).
NPI number1689179582
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1689179582
- Entity type
- Individual (NPI-1)
- Name
- Gin Den William Chang
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2018
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 310324 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
100 Port Washington BlvdRoslyn, NY 11576-1347
Phone 516-562-6000
Mailing address
100 Port Washington BlvdRoslyn, NY 11576-1347
Other practice locations
100 E 77th St
New York, NY 10075-1850
New York, NY 10075-1850
Phone 212-434-2000
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