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Individual

JENNY L SHIH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-3888
(212) 334-6887
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
239881
MA
208000000X
Pediatrics Physician
Primary
244943
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02947437
NY
Enumeration date
06/29/2007
Last updated
06/19/2019
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