Most Relevant Information
Provider Data
| NPI Number: | 1003320896 |
| Provider Name: | CONNIE SHIN |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 022128 |
Most Important Dates
| Enumeration Date: | 12/01/2017 |
| Last Updated: | 12/01/2017 |
Provider Practice Location
141 W 73RD ST
NEW YORK
NY
100232916
Practice Location Phone/Fax
| Phone: | 8774073422 |
| Fax: |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |