Individual
JISUK SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
315 WALT WHITMAN RD STE 214, HUNTINGTON STATION, NY 11746-4112
(631) 923-0334
(631) 923-0335
Mailing address
315 WALT WHITMAN RD STE 214, HUNTINGTON STATION, NY 11746-4112
(631) 923-0334
(631) 923-0335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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