CHANGYONG SHIN

NEW YORK, NY
NPI1346992419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2022-01-20
Last Update Date2022-01-20
Business Address
CHANGYONG SHIN
7 W 30TH ST
NEW YORK, NY 10001-4406
Phone number: 212-725-7850
Mailing Address
CHANGYONG SHIN
41 CONFORTI AVE
WEST ORANGE, NJ 07052-2824
Phone number: 973-307-7576