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Contact Information

JERRY CHIN, DO
760 SUNRISE HIGHWAY
WEST BABYLON, NY11704
 Phone: 631-517-9547
 Fax: 631-517-9547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JERRY CHIN · (Male)

NPI Number 1588751093
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/06/2006
Last updated 09/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 221368
  • NY Other 8C9721 BC/BS
  • NY Other 6009146 CIGNA
  • NY Other 5997110 GHI
  • NY Other 221368-30 HEALTH FIRST
  • NY Other 4C8783 HEALTHNET
  • NY Other P2695103 OXFORD
  • NY Other 133994 VYTRA
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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