Shim, Joseph Y

Shim, Joseph Y is an sole proprietor health care provider with primary practice located at 5650 Francis Lewis Blvd Fl 1 , Oakland Gardens NY 11364-1635. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shim, Joseph Y can be contacted via phone (718) 279-8107.

Contact Information

Primary practice address
5650 Francis Lewis Blvd Fl 1 Oakland Gardens NY 11364-1635
Phone: (718) 279-8107
Fax: (718) 279-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 213823 New York

Profile Details

NPI number 1285640730
LBN Legal business name Shim, Joseph Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285640730 NPPES
New York Other 113508930 TAX ID
New York Other P1895653 TAX ID
New York MEDICAID 02153428 TAX ID
New York Other 2325482 TAX ID
New York Other 196315A TAX ID
New York Other 831931 TAX ID

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