National Provider Identifier

Daniel Myeongchull Shin, DC

Daniel Myeongchull Shin, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Fairport, NY and a listed phone number of (585) 598-3458.

NPI 1467060475Fairport, NYChiropractor

Profile Overview

NPI
1467060475
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
July 15, 2020
Last Updated
July 15, 2020

Practice Location

  • 6800 Pittsford Palmyra RD Ste 420
  • Fairport, NY 14450-3520

Phone: (585) 598-3458

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1467060475
Entity Type
Individual
Last Name
Shin
First Name
Daniel
Middle Name
Myeongchull
Credential
DC
Mailing Street Address
6800 Pittsford Palmyra RD Ste 420
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-3520
Mailing Country
US
Mailing Phone
(585) 598-3458
Mailing Fax
(585) 598-3459
Practice Street Address
6800 Pittsford Palmyra RD Ste 420
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3520
Practice Country
US
Practice Phone
(585) 598-3458
Practice Fax
(585) 598-3459
Enumeration Date
July 15, 2020
Last Updated
July 15, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
July 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)