Individual
IN SOOK J SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 COMMUNITY DRIVE, ASPIRE OF WNY, INC., BUFFALO, NY 14225-2523
(716) 505-5634
(716) 892-1936
Mailing address
7 COMMUNITY DRIVE, ASPIRE OF WNY, INC., BUFFALO, NY 14225-2523
(716) 505-5634
(716) 892-1936
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
134927-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474924
—
NY
Enumeration date
02/02/2006
Last updated
04/10/2012
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