Provider Demographics
NPI:1174531230
Name:CHIN, DANNY (DPM)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:
Last Name:CHIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E 57TH ST
Mailing Address - Street 2:#2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2951
Mailing Address - Country:US
Mailing Address - Phone:212-253-6421
Mailing Address - Fax:
Practice Address - Street 1:340 E 57TH ST
Practice Address - Street 2:#2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2951
Practice Address - Country:US
Practice Address - Phone:212-253-6421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004064-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist