Kim, Shine H
Kim, Shine H is an sole proprietor health care provider with primary practice located at 4210 Colden St Apt 420 , Flushing NY 11355-4848. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kim, Shine H can be contacted via phone (646) 644-0716.Contact Information
Primary practice address
4210 Colden St Apt 420
Flushing NY 11355-4848
Phone: (646) 644-0716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39 | New York |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 39 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 39 | New York |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 39 | New York |
Profile Details
| NPI number | 1093968737 |
|---|---|
| LBN Legal business name | Kim, Shine H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Oct 28th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093968737 | NPPES |
| New York | MEDICAID | 1234567810 |
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