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Contact Information

WOOTAEK CHANG
121 DEKALB AVE
BROOKLYN, NY11201-5425
 Phone: 718-250-8022
 Fax: 718-250-6179
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WOOTAEK CHANG · (Male)

NPI Number 1437167590
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2006
Last updated 08/09/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 171373
  • NY Medicaid 01153222
Hospital affiliation(s) Not Available
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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