Park Shin, Seung J.
Park Shin, Seung J. is an sole proprietor health care provider with primary practice located at 450 Clarkson Ave Msc 80, Brooklyn NY 11203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Park Shin, Seung J. can be contacted via phone (718) 613-8481.Contact Information
Primary practice address
450 Clarkson Ave Msc 80
Brooklyn NY 11203
Phone: (718) 613-8481
Fax: (718) 613-8498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A123206-1 | New York |
Profile Details
| NPI number | 1497739452 |
|---|---|
| LBN Legal business name | Park Shin, Seung J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Mar 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497739452 | NPPES |
| New York | MEDICAID | 00231618 |
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