# KENT D SHINBACH MD PC

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

## Provider details

- **NPI number:** 1578521456
- **Authorized official:** DR. KENT SHINBACH (DIRECTOR OFFICER)
- **Authorized official phone:** (212) 744-7100

## Contact information

- **Practice address:** 435 E 79TH ST, NEW YORK, NY 10021-1034
- **Practice address phone:** (212) 744-7102
- **Practice address fax:** (212) 794-9726
- **Mailing address:** 435 E 79TH ST, NEW YORK, NY 10021-1034
- **Mailing address phone:** (212) 744-7102
- **Mailing address fax:** (212) 794-8906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | UY95859 | NY | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 06/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00419287 | — | NY |