Shin, Jisoo L

Shin, Jisoo L is an sole proprietor health care provider with primary practice located at 971 Central Park Ave Suite 5, Scarsdale NY 10583-3211. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Shin, Jisoo L can be contacted via phone (914) 723-7392.

Contact Information

Primary practice address
971 Central Park Ave Suite 5 Scarsdale NY 10583-3211
Phone: (914) 723-7392
Fax: (914) 723-1004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00549600 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X 27TO00087000 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X T006053-1 New York

Profile Details

NPI number 1962527846
LBN Legal business name Shin, Jisoo L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated May 5th, 2008 - about 18 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.

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