Provider Demographics
NPI:1154648475
Name:CHANG, RICHARD GINLUNG (MD, MPH)
Entity Type:Individual
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First Name:RICHARD
Middle Name:GINLUNG
Last Name:CHANG
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:450 CLARKSON AVE # 30
Mailing Address - Street 2:DEPARTMENT OF ORHOPAEDIC SURGERY AND REHABILITATION MED
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-8995
Mailing Address - Fax:718-270-1309
Practice Address - Street 1:450 CLARKSON AVE # 30
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION MED
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-8995
Practice Address - Fax:718-270-1309
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2015-10-15
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Provider Licenses
StateLicense IDTaxonomies
NY262319208100000X, 2081S0010X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine