Provider Demographics
NPI:1346272911
Name:CHYNN, EMIL (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:
Last Name:CHYNN
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:PO BOX 10124
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11555-0124
Mailing Address - Country:US
Mailing Address - Phone:212-741-8628
Mailing Address - Fax:212-741-2390
Practice Address - Street 1:102 E 25TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2913
Practice Address - Country:US
Practice Address - Phone:212-741-8628
Practice Address - Fax:212-741-2390
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206774207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01788921Medicaid
NY91T901Medicare ID - Type Unspecified
NYG28425Medicare UPIN