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Gwansoo Shin

NPI 1053622910 · on the registry since 2010 · sole proprietor

Practice

Address
6458 232nd St
Oakland Gardens, NY 11364
Phone
(646) 523-4500

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York