Provider Demographics
NPI:1639514847
Name:CHANG, YUNYOUNG CLAIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:YUNYOUNG
Middle Name:CLAIRE
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 UNION SQ W FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3304
Mailing Address - Country:US
Mailing Address - Phone:212-366-5400
Mailing Address - Fax:212-366-5461
Practice Address - Street 1:19 UNION SQ W FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-366-5400
Practice Address - Fax:212-366-5461
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259598207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology