Brian Y Changlai MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

147291 Issued in NY

Legal business name

BRIAN Y CHANGLAI MD PC

Practice address

4921 Briarwood LN
Manlius, NY 13104-1307

Phone

(315) 447-1505

Fax

(315) 338-5407

NPI assigned

Sep 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Y Changlai, MD

Title

Owner

Phone

(315) 447-1505

Specialties & licenses 1

Addresses

Tax ID family

Brian Y Changlai MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian Y Changlai MD PC

  • Internal Medicine Physician
  • Manlius, NY
  • NPI 1669455838
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1114474137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BRIARWOOD LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041307",
            "telephone_number": "315-447-1505",
            "fax_number": "315-338-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 BRIARWOOD LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041307",
            "telephone_number": "315-447-1505",
            "fax_number": "315-338-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN Y CHANGLAI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CHANGLAI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-447-1505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "147291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youssef Boles
• Jacqueline Booher, MS CCC-SLP
• Tiffany Bottar, PT
• Mark Isidore Boule, D.D.S.
• Joella Bova-Larham, AU.D
• Brian Y Changlai MD PC
• Taylor Alissa Brown
• Debra A Buchan, MD
• C. J. Haslam Behavioral Health
• Danielle Elizabeth Cahill, PHARM.D.

• Cardiovascular Disease Physician in Manlius, NY
• Providers in Manlius, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.