Individual
DR. CHANNING YEE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 ROUTE 23, WAYNE, NJ 07470
(800) 633-8446
(516) 625-2939
Mailing address
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577-2042
(516) 616-5500
(516) 625-2939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA104181000
NJ
208600000X
Surgery Physician
296463
NY
208600000X
Surgery Physician
A109722
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2008
Last updated
01/30/2019
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