Individual
CONNIE SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 W 73RD ST, NEW YORK, NY 10023-2916
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022128
NY
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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