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1346992419
CHANGYONG SHIN
NEW YORK, NY
NPI
1346992419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
CHANGYONG SHIN
7 W 30TH ST
NEW YORK, NY 10001-4406
Phone number: 212-725-7850
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Mailing Address
CHANGYONG SHIN
41 CONFORTI AVE
WEST ORANGE, NJ 07052-2824
Phone number: 973-307-7576
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