Provider Demographics
NPI:1497062756
Name:CHANG, LIH-FAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LIH-FAN
Middle Name:
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11817 UNION TPKE APT 9A
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6103
Mailing Address - Country:US
Mailing Address - Phone:917-297-8987
Mailing Address - Fax:
Practice Address - Street 1:11817 UNION TPKE APT 9A
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6103
Practice Address - Country:US
Practice Address - Phone:917-297-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2363962083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine