National Provider Identifier
Sophia Shin, PA-C
Sophia Shin, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-7007.
Profile Overview
- NPI
- 1730042698
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 08, 2025
- Last Updated
- January 10, 2026
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (607) 274-7007
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1730042698
- Entity Type
- Individual
- Last Name
- Shin
- First Name
- Sophia
- Credential
- PA-C
- Mailing Street Address
- 953 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-7000
- Mailing Country
- US
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-7007
- Enumeration Date
- December 08, 2025
- Last Updated
- January 10, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 10, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)