Jisung Phillip Shin, MD - Stony Brook, NY

Jisung Phillip Shin, MD

Student in an Organized Health Care Education/Training Program in Stony Brook, New York

NPI 1376246132

Jisung Phillip Shin is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Jisung Phillip Shin practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Jisung Phillip Shin is 1376246132 and holds a License No. (New York).

The current practice location address for Jisung Phillip Shin is 101 Nicolls Rd, Stony Brook, NY and can be reached out via phone at 631-638-2698.

Location: 101 Nicolls Rd, Stony Brook, NY, 11794-8434

NPI Number

1376246132

Provider Name

Jisung Phillip Shin

Credential

Provider Entity Type

Individual

Gender

Male

Address

101 Nicolls Rd, Stony Brook, NY, 11794-8434

Phone Number

631-638-2698

Fax Number

Provider Enumeration Date

03/22/2023

Last Update Date

03/10/2024

Address

101 Nicolls Rd

City

Stony Brook

State

New York

Zip

11794-8434

Phone Number

631-638-2698

Fax Number

Address

101 Nicolls Rd

City

Stony Brook

State

New York

Zip

11794-8434

Phone Number

631-638-2698

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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