JERRY S CHANG, MD, Diagnostic Radiology GLEN COVE, NY

Contact Information

JERRY S CHANG, MD

101 SAINT ANDREWS LN
NORTH SHORE LIJ GLEN COVE HOSPITAL, DEPT OF RADIOLOGY
GLEN COVE, NY 11542-2254

Phone: 516-674-7540
Fax: 516-674-7546
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for JERRY S CHANG · (Male)

NPI Number	`1316902026`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/18/2006
Last updated	07/31/2008 - About 18 years ago
Sole proprietor ¹	No
Identifiers	NY License # 227651 NJ Medicaid 0065064
Hospital affiliation(s)	GLEN COVE HOSPITAL - (Acute Care) 101 ST ANDREWS LANE GLEN COVE, NY 11542 HUNTINGTON HOSPITAL - (Acute Care) 270 PARK AVENUE HUNTINGTON, NY 11743 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care) 75 NORTH COUNTRY ROAD PORT JEFFERSON, NY 11777 LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care) 270 - 05 76TH AVENUE NEW HYDE PARK, NY 11040 PLAINVIEW HOSPITAL - (Acute Care) 888 OLD COUNTRY ROAD PLAINVIEW, NY 11803

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JERRY S CHANG, MD – NPI #1316902026Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for JERRY S CHANG · (Male)

Reviews for JERRY S CHANG

JERRY S CHANG, MD – NPI #1316902026
Diagnostic Radiology