Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 126686 | NY |
N | 208600000X | Surgeon | 126686 | NY |
Y | 2086S0102X | Surgical Critical Care | 126686 | NY |
NPI | 1326054032 |
---|---|
Provider Name | Han-Yu Shen |
First Address | Elmhurst, NY 11373-1329 |
Second Address | Elmhurst, NY 11373-1329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 19/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00380507 | (05) | NY |
B88874 | (02) | NY |