K.C. CHANG,PHYSICIAN, P.C.
Medical Practice at Central Park, New York, NY

License number
New York 129562
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: KOK-CHUNG CHANG MD
Title: PRESIDENT
Phone: (212) 877-5049
Address
Address
320 Central Park WEST, New York, NY 10025
National Provider ID: 1134282205
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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K.C. CHANG, PHYSICIAN, PC

320 Central Park W, New York, NY 10025

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Mar 20, 1997
Inactive since:
May 18, 2011
State ID:
2124941
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md K.c. Chang, 320 Central Park W, New York, NY 10025 (Physical)

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