Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 260081 | NY |
NPI | 1265729412 |
---|---|
Provider Name | Dr. Vivian Lynn Chin |
First Address | Brooklyn, NY 11203-2098 |
Second Address | Brooklyn, NY 11203-2098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2011 |
Last Update Date | 30/06/2014 |