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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEIDI SOO-JIN CHANG, PA-C

Active Sole Proprietor

HEIDI SOO-JIN CHANG, PA-C is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1649744707 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1649744707
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2019 (7.5800899990281 yrs)
Last Updated
Mar 29, 2019
License
023145 (NY)
Sole Proprietor
Yes

Practice Information

Address
160 BROADWAY FL 16
NEW YORK, NY, 10038
Browse NY providers · Browse ZIP 10038
Phone
5165057200
Primary Specialty
Physician Assistant
363A00000X

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Name Credential NPI
DONNA SILVERNAIL PA 1134126162
JONATHAN FISHER PA 1043218282
ROCCO MICHAEL RACANELLI PA 1073509550
MS. THERESA LEE RAYMOND PA-C 1518954635
MRS. YOLANDE THOMAS-ELLIS PA-C 1932197373
DENISE L WINICK PAC 1255320073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.