Individual
SHIRLEY JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
322260
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
09/18/2023
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