National Provider Identifier

In Sook J Shin, MD

In Sook J Shin, MD is listed in the NPPES registry with a primary specialty of Neurology Physician in Buffalo, NY and a listed phone number of (716) 505-5634.

NPI 1124090329Buffalo, NYNeurology Physician

Profile Overview

NPI
1124090329
Provider Type
Individual
Primary Specialty
Neurology Physician
Enumeration Date
February 02, 2006
Last Updated
April 10, 2012

Practice Location

  • 7 Community Drive
  • Aspire Of Wny, Inc.
  • Buffalo, NY 14225-2523

Phone: (716) 505-5634

Specialties

  • Neurology Physician (2084N0400X)
Full Record
NPI
1124090329
Entity Type
Individual
Last Name
Shin
First Name
In Sook
Middle Name
J
Credential
MD
Mailing Street Address
7 Community Drive
Mailing Address Line 2
Aspire Of Wny, Inc.
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225-2523
Mailing Country
US
Mailing Phone
(716) 505-5634
Mailing Fax
(716) 892-1936
Practice Street Address
7 Community Drive
Practice Address Line 2
Aspire Of Wny, Inc.
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-2523
Practice Country
US
Practice Phone
(716) 505-5634
Practice Fax
(716) 892-1936
Enumeration Date
February 02, 2006
Last Updated
April 10, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Neurology Physician (2084N0400X)
Other Identifiers
00474924 (NY)