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Individual

YINING SHAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHARMD

Contact information

Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457
(718) 590-1800
Mailing address
10 AMSTERDAM AVE APT 603, NEW YORK, NY 10023-7490

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
059548
NY
207L00000X
Anesthesiology Physician
321018
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
321018
NY

Other

Enumeration date
06/03/2018
Last updated
11/07/2024
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