| Yoonho Shin, DC | |
|
5605 Palisade Ave, West New York, NJ 07093-2125 | |
| (551) 210-4278 | |
| Not Available |
| Full Name | Yoonho Shin |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 5605 Palisade Ave, West New York, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326671363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR010285 (Georgia) | Secondary |
| 111N00000X | Chiropractor | 38MC00806000 (New Jersey) | Primary |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Yoonho Shin, DC 5605 Palisade Ave, West New York, NJ 07093-2125 Ph: (551) 210-4278 | Yoonho Shin, DC 5605 Palisade Ave, West New York, NJ 07093-2125 Ph: (551) 210-4278 |
Christopher Miglorisi, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6515 Kennedy Blvd E Apt 10c, West New York, NJ 07093 Phone: 754-367-3913 | |
Harris Ira Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Bergenline Ave, West New York, NJ 07093 Phone: 201-758-0099 | |
Dr. Larry Ordonez, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 6310 Bergenline Ave, West New York, NJ 07093 Phone: 201-869-6220 Fax: 201-869-5145 | |
Dr. Daniel W Maenner, D.O. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6310 Bergenline Ave, West New York, NJ 07093 Phone: 201-869-6220 Fax: 201-869-5145 | |
Dr. Joseph Anthony Mezyk, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 323 60th Street, West New York, NJ 07093 Phone: 201-861-6800 Fax: 201-861-6803 | |
Dr. Heidi Fentzke, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kennedy Blvd W, West New York, NJ 07093 Phone: 973-838-8399 | |
Bergenline Health Care, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kennedy Blvd W, West New York, NJ 07093 Phone: 201-758-0099 Fax: 201-758-2992 |