Individual
CARMEN CHINEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5064
(631) 268-1008
(631) 268-1022
Mailing address
1037 MAIN ST, PEEKSKILL, NY 10566-2913
(845) 745-3611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166496
NY
207R00000X
Internal Medicine Physician
MD042106E
PA
207RN0300X
Nephrology Physician
166496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00473038
—
NY
05
—
02665745
—
NY
Enumeration date
07/17/2006
Last updated
03/29/2024
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