Individual
JINSHAN JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 SUNSET AVE # 3, UTICA, NY 13502-5617
(315) 797-1212
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 310, UTICA, NY 13501-5930
(315) 801-3282
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022394
NY
Other
Enumeration date
08/03/2018
Last updated
08/23/2018
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