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Dr. Jae Yoon Shin, DPM
Podiatrist in Long Island City, New York
NPI 1396088803

Jae Yoon Shin is a Podiatrist based in Long Island City, NY. Jae Yoon Shin practices in Long Island City, NY and has the professional credentials of DPM. The NPI Number for Jae Yoon Shin is 1396088803 and holds a License No. N00721001 (New York).

The current practice location address for Jae Yoon Shin is 4220 27Th St Apt 515, Long Island City, NY and can be reached out via phone at 267-269-7127.

Location: 4220 27Th St Apt 515, Long Island City, NY, 11101-8618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396088803
Provider Name
Jae Yoon Shin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4220 27Th St Apt 515, Long Island City, NY, 11101-8618
Phone Number
267-269-7127
Fax Number
Provider Enumeration Date
04/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MD00365800 01 NJ PODIATRIC LICENSE
POD001311 01 GA PODIATRIC LICENSE
N007210-01 01 NY PODIATRIC LICENSE
institution
Provider Business Practice Location Address Details
Address
4220 27Th St Apt 515
City
Long Island City
State
New York
Zip
11101-8618
Phone Number
267-269-7127
Fax Number
person
Provider Business Mailing Address Details
Address
4220 27Th St Apt 515
City
Long Island City
State
New York
Zip
11101-8618
Phone Number
267-269-7127
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
25MD00365800 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
POD001311 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N00721001 (New York)
Definition
Definition to come...
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