Individual
DANIEL SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2850 ROUTE 112, MEDFORD, NY 11763-1404
(631) 696-4018
(631) 696-4074
Mailing address
2 MARLON LN, HAUPPAUGE, NY 11788-3005
(516) 356-3665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062163
NY
Other
Enumeration date
09/28/2016
Last updated
08/25/2021
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