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1376246132
JISUNG PHILLIP SHIN
STONY BROOK, NY
NPI
1376246132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
JISUNG PHILLIP SHIN MD
101 NICOLLS RD
STONY BROOK, NY 11794-8434
Phone number: 631-638-2698
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Mailing Address
JISUNG PHILLIP SHIN MD
101 NICOLLS RD
STONY BROOK, NY 11794-8434
Phone number:
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