Individual
TAI HO SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5290 MILITARY RD STE 8, LEWISTON, NY 14092-1953
(716) 298-8440
(716) 961-1271
Mailing address
5290 MILITARY RD STE 8, LEWISTON, NY 14092-1953
(716) 298-8440
(716) 961-1271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
296819
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
296819
NY
208M00000X
Hospitalist Physician
296819
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2013
Last updated
06/28/2022
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