Provider Demographics
NPI:1164416418
Name:KOCHIN, ISRAEL N (MD)
Entity Type:Individual
Prefix:DR
First Name:ISRAEL
Middle Name:N
Last Name:KOCHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5103
Mailing Address - Country:US
Mailing Address - Phone:718-338-1313
Mailing Address - Fax:718-338-7777
Practice Address - Street 1:1321 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5103
Practice Address - Country:US
Practice Address - Phone:718-338-1313
Practice Address - Fax:718-338-7777
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221100208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02573302Medicaid
NY02573302Medicaid