Individual
DR. KENT SHINBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 E 75TH ST, 1A, NEW YORK, NY 10021-2625
(212) 744-7100
(212) 794-9726
Mailing address
14 E 75TH ST, 1A, NEW YORK, NY 10021-2625
(212) 744-7100
(212) 794-9726
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
095856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419287
—
NY
Enumeration date
04/27/2006
Last updated
03/23/2016
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