Individual
DR. DANIEL ISAAC SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NEW YORK UNIVERSITY HOSPITALS CENTER 555 FIRST AVE., TISCH 1626, NEW YORK, NY 10016-6497
(212) 263-3250
(212) 263-3882
Mailing address
NEW YORK UNIVERSITY HOSPITALS CENTER 555 FIRST AVE., TISCH 1626, NEW YORK, NY 10016-6497
(212) 263-3250
(212) 263-3882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
148914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23D041
—
NJ
Enumeration date
10/04/2006
Last updated
07/08/2007
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