Individual
EDWARD J. SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 MOTT ST, ROOM 608, NEW YORK, NY 10013-5540
(212) 343-8399
(212) 343-1386
Mailing address
PO BOX 2625, NEW YORK, NY 10009-8925
(212) 979-4572
(212) 979-4510
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
224219
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02366989
—
NY
Enumeration date
06/14/2006
Last updated
02/28/2008
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