Individual
SHYAM AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST STE 1-301, NEW YORK, NY 10032-3720
(212) 305-4928
Mailing address
622 W 168TH ST STE 1-301, NEW YORK, NY 10032-3720
(212) 305-4928
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
336686-01
NY
2085R0202X
Diagnostic Radiology Physician
4351046755
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046755
MI
Other
Enumeration date
06/05/2020
Last updated
08/06/2025
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