# BRYANT SHIN, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043401904
- **Authorized official:** BRYANT J SHIN MD (MD PRESIDENT)
- **Authorized official phone:** (585) 442-1515

## Contact information

- **Practice address:** 973 EAST AVE, ROCHESTER, NY 14607-2216
- **Practice address phone:** (585) 442-1515
- **Practice address fax:** (585) 442-8376
- **Mailing address:** 973 EAST AVE STE 200, ROCHESTER, NY 14607-2216
- **Mailing address phone:** (585) 442-1515
- **Mailing address fax:** (585) 442-8376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 119749 | NY | — |
| 207W00000X | Ophthalmology Physician | 225028 | NY | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 06/02/2009