Individual
DR. KELLY CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
829 57TH ST, 2ND FLOOR, BROOKLYN, NY 11220-3617
(718) 871-2511
(718) 871-0062
Mailing address
93 BROWN CIR, PARAMUS, NJ 07652-5203
(718) 871-2511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
195950
NY
207RG0100X
Gastroenterology Physician
Primary
195950
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774758
—
NY
Enumeration date
07/20/2006
Last updated
03/11/2025
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