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Organization
WILLIAM SHIN PEDIATRIC PC
Active
Organization
WILLIAM SHIN PEDIATRIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SHIN (MEDICAL DOCTOR)
(718) 463-0101
Entity
Organization
Contact information
Practice address
4221 162ND ST, #1FL., FLUSHING, NY 11358-4126
(718) 463-0101
(917) 563-5321
Mailing address
4221 162ND ST FL 1, FLUSHING, NY 11358-4126
(718) 463-0101
(917) 563-5321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
222692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02203249
—
NY
Enumeration date
05/04/2012
Last updated
05/04/2012
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