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Contact Information

SHINE H KIM, MD
4210 COLDEN ST APT 420
FLUSHING, NY11355-4848
 Phone: 646-644-0716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHINE H KIM · (Female)

NPI # 1093968737
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2008
Last updated 10/28/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 39
  • NY Medicaid 1234567810
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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