Jiwoong John Shin
Pediatric Emergency Physician
300 Community Drive
Manhasset
, New York 11030-3816
Jiwoong John Shin
Pediatric Emergency Physician
300 Community Drive
Manhasset
, New York 11030-3816
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Jiwoong John Shin
- 300 Community Drive
- Manhasset, NY
- Zip : 11030-3816
- Phone :
Second Address
- Jiwoong John Shin
- 300 Community Drive
- Manhasset, NY
- Zip : 11030-3816
- Phone : (516) 562-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 297441-1 | NY |
National Provider Identifier
| NPI | 1366804817 |
|---|---|
| Provider Name | Jiwoong John Shin |
| First Address | Manhasset, NY 11030-3816 |
| Second Address | Manhasset, NY 11030-3816 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2016 |
| Last Update Date | 23/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.