Provider Demographics
NPI:1184021941
Name:KOCHIN MEDICAL PC
Entity Type:Organization
Organization Name:KOCHIN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-338-1313
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2211002080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02573302Medicaid
NY02573302Medicaid