National Provider Identifier
Simon Shin, MD
Simon Shin, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (206) 920-7917.
Profile Overview
- NPI
- 1609526490
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 25, 2022
- Last Updated
- March 25, 2022
Practice Location
- 601 Elmwood Avenue Box Surg
- Rochester, NY 14642-0001
Phone: (206) 920-7917
Mailing Address
- 9230 Burt St Apt 101
- Omaha, NE 68114-2468
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1609526490
- Entity Type
- Individual
- Last Name
- Shin
- First Name
- Simon
- Credential
- MD
- Mailing Street Address
- 9230 Burt St Apt 101
- Mailing City
- Omaha
- Mailing State
- NE
- Mailing ZIP Code
- 68114-2468
- Mailing Country
- US
- Mailing Phone
- (206) 920-7917
- Practice Street Address
- 601 Elmwood Avenue Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (206) 920-7917
- Enumeration Date
- March 25, 2022
- Last Updated
- March 25, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 25, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)