Individual
DR. SUSAN C SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1468 MADISON AVE, ANNENBERG 2ND FLOOR, NEW YORK, NY 10029-6508
(212) 241-1639
Mailing address
1468 MADISON AVE, ANNENBERG 2ND FLOOR, PO BOX 1052, NEW YORK, NY 10029-6508
(212) 241-1639
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
25MA11140600
NJ
2084N0400X
Neurology Physician
255377
NY
2084N0400X
Neurology Physician
Primary
25MA11140600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255377
NYS LICENSE
NY
Enumeration date
06/29/2007
Last updated
01/21/2026
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