| John Shinin, Md.pc | |
|
119 N Ocean Ave Ste A Patchogue NY 11772-2026 | |
| (631) 207-4200 | |
| (631) 204-6244 |
| Full Name | John Shinin, Md.pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 N Ocean Ave Ste A, Patchogue, New York |
| Authorized Official Name and Position | John Arturo Shinin (OWNER) |
| Authorized Official Contact | 6312074200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Shinin, Md.pc 119 N Ocean Ave Ste A Patchogue NY 11772-2026 Ph: (631) 207-4200 | John Shinin, Md.pc 119 N Ocean Ave Ste A Patchogue NY 11772-2026 Ph: (631) 207-4200 |
| NPI Number | 1689874620 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 3173437480 |
|---|---|
| Medicare Enrollment ID | O20080215000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689874620 | NPI | - | NPPES |
| 02335793 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 221648 (New York) | Primary |
| Provider Name | John a Shinin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841357506 PECOS PAC ID: 1254245566 Enrollment ID: I20080215000163 |
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