National Provider Identifier
Justin Jonghyun Shin, MD
Justin Jonghyun Shin, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 442-1713.
Profile Overview
- NPI
- 1770203119
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- August 29, 2022
- Last Updated
- April 04, 2023
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 442-1713
Mailing Address
- 11375 Cortez Blvd
- Brooksville, FL 34613-5409
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1770203119
- Entity Type
- Individual
- Last Name
- Shin
- First Name
- Justin
- Middle Name
- Jonghyun
- Credential
- MD
- Mailing Street Address
- 11375 Cortez Blvd
- Mailing City
- Brooksville
- Mailing State
- FL
- Mailing ZIP Code
- 34613-5409
- Mailing Country
- US
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 442-1713
- Enumeration Date
- August 29, 2022
- Last Updated
- April 04, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 04, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)