Healthcare Provider Details

I. General information

NPI: 1255373205
Provider Name (Legal Business Name): ARVIN H CHIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HARRISON ST
NEW YORK NY
10013-2705
US

IV. Provider business mailing address

29 HARRISON ST
NEW YORK NY
10013-2705
US

V. Phone/Fax

Practice location:
  • Phone: 212-233-4439
  • Fax: 212-724-9596
Mailing address:
  • Phone: 212-233-4439
  • Fax: 212-724-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number124698
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: