Shin, Emilia

Shin, Emilia is an individual health care provider with primary practice located at 450 Clarkson Ave # 49 , Brooklyn NY 11203-2012. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Shin, Emilia can be contacted via phone (718) 270-2978.

Contact Information

Primary practice address
450 Clarkson Ave # 49 Brooklyn NY 11203-2012
Phone: (718) 270-2978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 269430 Fm

Profile Details

NPI number 1588915201
LBN Legal business name Shin, Emilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2012
Last updated Dec 20th, 2021 - about 3 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 1588915201 NPPES
Massachusetts Other S400365865 MEDICARE
Massachusetts MEDICAID 110121271A MEDICARE

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