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Individual

KYU H SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 871-0181
(716) 871-0183
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 871-0181
(716) 871-0183

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
184546
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010165401
UNIVERA
NY
01
000511168007
BLUE CROSS BLUE SHIELD WNY
NY
05
01388141
NY
01
3703826
INDEPENDENT HEALTH
NY
01
6000575
GHI
NY
01
P00673442
RAILROAD MEDICARE
Enumeration date
07/13/2005
Last updated
04/26/2026
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