Organization
JAEHO SHIN CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEHO SHIN DC (PRESIDENT)
(347) 732-0396
Entity
Organization
Contact information
Practice address
4110 163RD ST FL 1, FLUSHING, NY 11358-2606
(347) 732-0396
(347) 732-9172
Mailing address
4110 163RD ST FL 1, FLUSHING, NY 11358-2606
(347) 732-0396
(347) 732-9172
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679703979
NPI
NY
Enumeration date
04/04/2011
Last updated
04/04/2011
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