Individual
MIKE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201
(718) 250-8000
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201
(718) 250-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q7791
TX
Other
Enumeration date
04/17/2015
Last updated
07/24/2016
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