Individual
JERRY CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
760 SUNRISE HIGHWAY, WEST BABYLON, NY 11704
(631) 517-9547
(631) 517-9547
Mailing address
3 NANCY DR, SAYVILLE, NY 11782
(631) 517-9547
(631) 517-9547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133994
VYTRA
NY
01
—
221368-30
HEALTH FIRST
NY
01
—
4C8783
HEALTHNET
NY
01
—
5997110
GHI
NY
01
—
6009146
CIGNA
NY
01
—
8C9721
BC/BS
NY
01
—
P2695103
OXFORD
NY
Enumeration date
10/06/2006
Last updated
09/13/2023
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