Individual
JUNG SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 PARK AVE STE 140, HUNTINGTON, NY 11743-3972
(631) 683-8499
Mailing address
3 HICKORY HL, ROSLYN, NY 11576-1713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023223
NY
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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