KENT D SHINBACH MD PC
Medical Practice at 79 St, New York, NY

License number
New York UY95859
Category
Medical Practice
Type
Legal Medicine
Owner
Name: DR. KENT SHINBACH
Title: DIRECTOR OFFICER
Phone: (212) 744-7100
Address
Address
435 E 79Th St, New York, NY 10021
National Provider ID: 1578521456
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENT D. SHINBACH M.D., PC

New York, NY

Registration:
Sep 9, 1996
Addresses:
14 E 75 St 1A 14 East 75, New York, NY 10021 (Physical)
14 E 75 St 1A, New York, NY 10021 (Physical)
State ID:
2063981
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Md Kent D Shinbach, 14 E 75 St 1A, New York, NY 10021 (Physical)

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