| Doctor Name: | NGA CHANG |
| NPI Number: | 1538222039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 148111 |
| Business Practice Address: | 81 Elizabeth St Suite 401 New York, NY - 100134729 |
| Business Phone Number: | 2124317098 |
| Business Fax Number: | 2124317098 |
| Mailing Address: | 6236 Main Street, FLUSHING |
| State: | NY |
| Postal Code: | 113671125 |
| Phone Number: | 7183590489 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2006 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 148111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |