Individual provider · Type 1 NPI

Stephanie Chang, DO

Student in an Organized Health Care Education/Training Program · Flushing, NY

NPI number 1174218952 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Mailing address

975 San Pasqual St Apt 214
Pasadena, CA 91106-3318

Other practice locations

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174218952

Stephanie Chang, DO's National Provider Identifier is 1174218952, issued on Apr 7, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flushing, NY. The record was last updated on May 14, 2024.