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Contact Information

EDWIN M CHANG, MD
1099 TARGEE ST
STATEN ISLAND, NY10304-4310
 Phone: 718-448-3210
 Fax: 718-815-3379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EDWIN M CHANG · (Male)

NPI # 1356322697
Status Active
Credentials MD
Entity Individual
Enumeration date 11/11/2005
Last updated 06/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA52820
  • NY License # 1752211
  • NY Medicaid 01512041
  • NY Other 130016692 RAILROAD MEDICARE
Hospital affiliation(s)
  • STATEN ISLAND UNIVERSITY HOSPITAL - (Acute Care)
    475 SEAVIEW AVENUE
    STATEN ISLAND, NY 10305
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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