Provider Demographics
NPI:1154583524
Name:CHANG-ABREU, CHRISTINE (PA C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:CHANG-ABREU
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:800 VETERANS MEMORIAL HWY
Mailing Address - Street 2:2ND FLOOR MSKCC
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2948
Mailing Address - Country:US
Mailing Address - Phone:631-863-5141
Mailing Address - Fax:631-863-5170
Practice Address - Street 1:800 VETERANS MEMORIAL HWY
Practice Address - Street 2:2ND FLOOR MSKCC
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2948
Practice Address - Country:US
Practice Address - Phone:631-863-5141
Practice Address - Fax:631-863-5170
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010440363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant