Individual
SHWE WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8263
(315) 734-4988
Mailing address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8263
(315) 734-4988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003461
NY
208M00000X
Hospitalist Physician
Primary
003461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03179733
—
NY
01
—
P00901923
RRMCR
NY
Enumeration date
06/22/2007
Last updated
01/25/2012
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