Individual
YOUNG KYU SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1398
(908) 352-8375
Mailing address
22 JOHN ST APT 3D, BLOOMFIELD, NJ 07003-5150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036200
—
NJ
Enumeration date
07/07/2026
Last updated
07/07/2026
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