Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 221003 | NY |
Y | 208600000X | Surgeon | 221003 | NY |
NPI | 1003925017 |
---|---|
Provider Name | Yong T Shin |
First Address | New York, NY 10001-2603 |
Second Address | New York, NY 10011-8202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2184398 | (05) | NY |