Individual
DR. SHINE H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4210 COLDEN ST APT 420, FLUSHING, NY 11355-4848
(646) 644-0716
Mailing address
4210 COLDEN ST APT 420, FLUSHING, NY 11355-4848
(646) 644-0716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
39
NY
208D00000X
General Practice Physician
39
NY
208M00000X
Hospitalist Physician
Primary
39
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567810
—
NY
Enumeration date
10/28/2008
Last updated
10/28/2008
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