Provider Demographics
NPI:1497401681
Name:ROSE YU-CHIN MD PC
Entity Type:Organization
Organization Name:ROSE YU-CHIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:YU-CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-902-6723
Mailing Address - Street 1:15 GRAMERCY PARK S # 3AB
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1705
Mailing Address - Country:US
Mailing Address - Phone:917-902-6723
Mailing Address - Fax:
Practice Address - Street 1:2 POMPERAUG OFFICE PARK STE 202
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2290
Practice Address - Country:US
Practice Address - Phone:917-902-6723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty