Individual
DR. SEUNG J. PARK SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, MSC 80, BROOKLYN, NY 11203
(718) 613-8481
(718) 613-8498
Mailing address
450 CLARKSON AVE, MSC 80, BROOKLYN, NY 11203-2056
(718) 613-8481
(718) 613-8498
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A123206-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00231618
—
NY
Enumeration date
12/02/2005
Last updated
03/20/2014
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