Individual
CHARLES Y JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC - PSYC. OBSERVATION SERV., 111 E. 210TH STREET, BRONX, NY 10467
(718) 920-7460
Mailing address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(718) 920-7460
(718) 515-5403
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
222414
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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