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Individual

MS. CAROLE J CHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
160 HOWELLS RD, CAROLE CHIN COUNSELING CENTER, BAY SHORE, NY 11706-5320
(631) 647-7198
(631) 647-7199
Mailing address
160 HOWELLS RD, CAROLE CHIN COUNSELING CENTER, BAY SHORE, NY 11706-5320
(631) 647-7198
(631) 647-7199

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400 1301
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94V421
PTAN
NY
Enumeration date
04/30/2007
Last updated
09/24/2013
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