Organization
KENT D SHINBACH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT SHINBACH (DIRECTOR OFFICER)
(212) 744-7100
Entity
Organization
Contact information
Practice address
435 E 79TH ST, NEW YORK, NY 10021-1034
(212) 744-7102
(212) 794-9726
Mailing address
435 E 79TH ST, NEW YORK, NY 10021-1034
(212) 744-7102
(212) 794-8906
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
UY95859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419287
—
NY
Enumeration date
05/02/2006
Last updated
06/24/2008
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