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Individual
DR. OSRIC SHAUN KING
Active
Individual
DR. OSRIC SHAUN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
206390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043604737
2ND GHI
NY
01
—
2778049
AETNA HMO
NY
01
—
5005A1
BLUE CROSS BLUE SHIELDS
NY
01
—
7226057
AETNA PPO
NY
01
—
9684750
GHI
NY
01
—
P2695786
OXFORD FREEDOM
NY
Enumeration date
03/23/2007
Last updated
04/29/2021
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