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Russell Chin

Optometrist in Bronx, NY. Individual provider (NPI-1).

NPI number1215856422
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1215856422
Entity type
Individual (NPI-1)
Name
Russell Chin
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 13, 2026
Certification date
Jul 13, 2026
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist011424NYYes

Practice location

1650 Selwyn Ave Apt 1c
Bronx, NY 10457-7628

Phone 718-960-2041

Mailing address

2827 35th St Apt 3a
Astoria, NY 11103-4672

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