Individual
DR. MICHAEL MINCHUL SHIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
967 N BROADWAY, DEPARTMENT OF ANESTHESIA, YONKERS, NY 10701-1301
(914) 964-4972
(914) 964-4433
Mailing address
967 N BROADWAY, DEPARTMENT OF ANESTHESIA, YONKERS, NY 10701-1301
(914) 964-4972
(914) 964-4433
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
219628-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01566494
—
NY
05
—
02129124
—
NY
Enumeration date
09/09/2005
Last updated
07/09/2007
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