Provider Demographics
NPI:1326298290
Name:CHANG, LENA L (NP)
Entity Type:Individual
Prefix:MS
First Name:LENA
Middle Name:L
Last Name:CHANG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:200 RECTOR PL APT 34N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16TH STREET AND FIRST AVENUE
Practice Address - Street 2:BETH ISRAEL MEDICAL CARDIAC CATH LAB FL 11 DAZIAN BLDG
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2806
Practice Address - Fax:212-420-2406
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY302307363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health