Individual
MS. SOONYE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-7956
Mailing address
6111 230TH ST, OAKLAND GARDENS, NY 11364-2424
(347) 408-4896
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381527
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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