Individual
BRUCE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8071 UTOPIA PKWY, JAMAICA, NY 11432-1337
(718) 591-9440
(718) 591-7458
Mailing address
8071 UTOPIA PKWY, JAMAICA, NY 11432-1337
(718) 591-9440
(718) 591-7458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
135603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480084
—
NY
Enumeration date
03/22/2007
Last updated
07/08/2007
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