Individual
DR. NAMI SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCN, LDN, CNS
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
011215-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011215-01
NYS BOARD OF EDUCATION OFFICE OF PROFESSIONS
NY
Enumeration date
01/31/2023
Last updated
01/31/2023
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