Provider Demographics
NPI:1134381908
Name:CHANG, YUMEI MARY (MD)
Entity type:Individual
Prefix:DR
First Name:YUMEI
Middle Name:MARY
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:360 FURMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4574
Mailing Address - Country:US
Mailing Address - Phone:310-463-5771
Mailing Address - Fax:
Practice Address - Street 1:240 GREENWICH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2163
Practice Address - Country:US
Practice Address - Phone:310-463-5771
Practice Address - Fax:212-815-4910
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD463062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine