Individual ProviderJulia Marie ChangStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address43 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208(518) 262-5626PECOS EnrollmentBased on the most recent information from CMS, provider Julia Marie Chang does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174256671Provider TypeIndividualFull NameChang, Julia MarieCredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/3/2022Last Updated7/3/2022Contact InformationPractice LocationPractice Address43 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208Phone(518) 262-5626FaxUnlisted FaxMailing LocationMailing Address43 New Scotland Avenue, Dept. Of Pediatrics, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64579Code390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer