JISUNG PHILLIP SHIN

STONY BROOK, NY
NPI1376246132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
JISUNG PHILLIP SHIN MD
101 NICOLLS RD
STONY BROOK, NY 11794-8434
Phone number: 631-638-2698
Mailing Address
JISUNG PHILLIP SHIN MD
101 NICOLLS RD
STONY BROOK, NY 11794-8434
Phone number: