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Individual

ALEX MYUNGHWAN SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
260 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787
(631) 265-8780
Mailing address
260 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
RT009246-01
NY

Other

Enumeration date
09/27/2020
Last updated
01/14/2025
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