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Individual

DR. NAMI SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DCN, LDN, CNS

Contact information

Practice address
4232 ALBANY POST RD, HYDE PARK, NY 12538-1766
(845) 594-3697
Mailing address
1740 ROUTE 9W # 309, WEST PARK, NY 12493-9800
(845) 594-3697

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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