Individual
KELLY CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
70 PINELAWN RD, MELVILLE, NY 11747-3125
(631) 773-6706
Mailing address
70 PINELAWN RD, MELVILLE, NY 11747-3125
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
304086
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
02/22/2023
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