Individual
JI HAE SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-2900
(212) 523-2842
Mailing address
1 GUSTAVE L LEVY PL # 1118, NEW YORK, NY 10029-6504
(212) 241-0896
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
306135
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851755631
—
MO
Enumeration date
04/07/2016
Last updated
01/20/2022
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