Provider Demographics
NPI:1790840361
Name:CHIN, THOMAS CID MING (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CID MING
Last Name:CHIN
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 1:8 CHATHAM SQUARE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-233-2033
Mailing Address - Fax:212-966-7265
Practice Address - Street 1:8 CHATHAM SQUARE
Practice Address - Street 2:SUITE 308
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-233-2033
Practice Address - Fax:212-966-7265
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129269207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
21A861Medicare ID - Type Unspecified
D46880Medicare UPIN