MR. ZAE-SEOL SIN


Address: 700 S Perry St, St Marys Healthcare, Johnstown Health Center, Johnstown, NY 12095-3213
Phone: 5187623161

MR. ZAE-SEOL SIN (NPI# 1346209228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346209228
Entity Type Individual
Full Name MR. ZAE-SEOL SIN
Credential MD
Practice Address 700 S Perry St
St Marys Healthcare, Johnstown Health Center
Johnstown
NY 12095-3213
Mailing Address 427 Guy Park Ave
St. Mary's Healthcare, Primary Care Dept.
Amsterdam
NY 12010-1054
Practice Telephone 5187623161
Practice Fax Number 5187624902
Mailing Telephone 5188417430
Mailing Fax Number 5188417121
Enumeration Date 2006-03-21
Last Update Date 2013-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 113796 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00528661 05
CDPHD 10001903 01

Office Location

Street Address 700 S PERRY ST
ST MARYS HEALTHCARE, JOHNSTOWN HEALTH CENTER
City JOHNSTOWN
State NY
Zip Code 12095-3213

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770582256 Randie R Salmon Nurse Practitioner 700 S Perry St, Johnstown Health Center, Johnstown, NY 12095-3213 2005-07-18
1821625047 Lori L Schriner Nurse Practitioner 700 S Perry St, Johnstown, NY 12095-3298 2020-03-26
1023594041 Jennifer Mehling Family Medicine 700 S Perry St, Johnstown, NY 12095-3213 2018-07-12
1215480751 Maureen Wroblewski Nurse Practitioner 700 S Perry St, Johnstown Pediatric Health Center, Johnstown, NY 12095-3213 2016-08-02
1730565219 Christie Flanagan Physician Assistant 700 S Perry St, Johnstown Health Center, Johnstown, NY 12095-3213 2015-08-06
1033475215 James Cristopher Izzano Obstetrics & Gynecology 700 S Perry St, Johnstown Ob/gyn Health Center, Johnstown, NY 12095-3213 2012-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245713619 Kayla Brooks Registered Nurse 465 South Perry St., Johnstown, NY 12095 2018-09-12
1134676729 Billie Jo Loveless Rehabilitation Unit 6 East Clinton Street, Apt 1, Johnstown, NY 12095 2016-09-01
1427447499 Cynthia Ann Lockrow Counselor 2-8 West Main Street, Johnstown, NY 12095 2015-01-14
1700282563 Karie Nasser Occupational Therapist 201 W. Madison Avenue, Johnstown, NY 12095 2014-11-06
1063772838 St. Mary's Healthcare Internal Medicine 700 South Perry St, Johnstown, NY 12095 2012-05-25
1801163654 Maryerin Johneen Agard Rehabilitation Hospital Route 67, Hfm Boces, Johnstown, NY 12095 2011-11-22
1497053672 Erin Kelly Drobnack Occupational Therapist 2755 St Rt 67, Johnstown, NY 12095 2011-03-11
1407180649 Clara Mae Smith Licensed Practical Nurse 3462 State Highway 29, Johnstown, NY 12095 2009-09-21
1770730061 Sarah Elizabeth Liporace Speech-Language Pathologist 2714 Ny-29, Johnstown, NY 12095 2008-08-19
1730335761 Willing Helpers Home for Women Inc. Assisted Living Facility 226 West Madison Ave., Johnstown, NY 12095 2008-08-11
Find all providers in zip 12095

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710393715 Dlp Conemaugh Physician Practices LLC Internal Medicine 622 Dermuth St., Johnstown, PA 15904 2014-07-10
1063772838 St. Mary's Healthcare Internal Medicine 700 South Perry St, Johnstown, NY 12095 2012-05-25
1013128495 Subarna Hamid Eisaman Internal Medicine 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 2007-05-25
1821206178 Blue and Green Medical PC Internal Medicine 1743 Goucher Street, Johnstown, PA 15905 2007-05-18
1467598755 Vijay K Malhotra Internal Medicine 78 Fairfield Ave, Johnstown, PA 15906-2308 2007-01-30
1396820759 Akber Hassam Internal Medicine 2 Fon Clair Ter, Johnstown, NY 12095-3100 2006-10-26
1508976044 Conemaugh Health Initiatives Internal Medicine 941 Pinegrove Ln, Suite A, Johnstown, PA 15905-2504 2006-08-30
1770696619 Francis Patrick Madden Internal Medicine 1425 Scalp Avenue, Ste 29, Johnstown, PA 15904-2831 2006-08-16
1720090558 Safouh Malhis Internal Medicine 100 Susan Dr, Johnstown, PA 15905-2826 2006-08-12
1790794824 Marc Anthony Masotti Internal Medicine 4401a Union St, Johnstown, CO 80534-2800 2006-08-07
Find all providers in JOHNSTOWN

Competitor

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City JOHNSTOWN
Zip Code 12095

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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