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Individual
DR. JOSEPH Y SHIM
Active
Individual
DR. JOSEPH Y SHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02153428
—
NY
01
—
113508930
TAX ID
NY
01
—
196315A
MAGNACARE
NY
01
—
2325482
AETNA
NY
01
—
831931
BLUE CROSS BLUE SHIELDS
NY
01
—
P1895653
OXFORD
NY
Enumeration date
08/01/2006
Last updated
07/08/2007
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