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Individual

JINAH K SHIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
14424 37TH AVE, APT LD, FLUSHING, NY 11354-5913
(718) 886-4977
(718) 886-4692
Mailing address
51 PINEWOOD RD, ROSLYN, NY 11576
(347) 400-1963
(718) 762-2959

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
F400402-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02074124
NY
Enumeration date
01/09/2006
Last updated
11/04/2017
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