Organization
SHAO MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YINING SHAO MD (PRESIDENT)
(646) 897-2461
Entity
Organization
Contact information
Practice address
9745 63RD DR STE 1D, REGO PARK, NY 11374-3344
(646) 897-2461
(718) 691-7982
Mailing address
13835 39TH AVE APT 4E, FLUSHING, NY 11354-5790
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
05/30/2025
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