Individual
MARK INBO SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
237 82ND STREET, BROOKLYN, NY 11209
(718) 836-0009
(718) 836-1811
Mailing address
237 82ND STREET, BROOKLYN, NY 11209
(718) 836-0009
(718) 836-1811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
179695
NY
207RC0000X
Cardiovascular Disease Physician
25MA05388000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01273990
—
NY
Enumeration date
08/09/2006
Last updated
10/23/2011
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