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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAE YOON SHIN, D.P.M.

Active Sole Proprietor

DR. JAE YOON SHIN, D.P.M. is a Podiatrist healthcare provider located in LONG ISLAND CITY, New York. NPI 1396088803 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · LONG ISLAND CITY, NY

Registration Details

NPI Number
1396088803
Provider Type
Individual
Gender
Male
NPI Issued
Apr 3, 2013 (13.407107140443 yrs)
Last Updated
Feb 1, 2022
Licenses
N00721001 (NY)
POD001311 (GA)
25MD00365800 (NJ)
25MD00365800 (NJ)
25MD00365800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
4220 27TH ST APT 515
LONG ISLAND CITY, NY, 111018618
Browse NY providers · Browse ZIP 11101
Phone
2672697127
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist
Additional Specialty
Radiology Podiatrist
Additional Specialty
Podiatrist

Other Podiatrist Providers in LONG ISLAND CITY, NY

Name Credential NPI
DR. JOHN RICHARD DIMARINIS DPM PODIATRIST 1598880817
DR. AMAN FATIMA D.P.M 1336673565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.