MS. GRACE SHIN (NPI# 1558624452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558624452 |
| Entity Type | Individual |
| Full Name | MS. GRACE SHIN |
| Credential | MS IN ED |
| Practice Address |
5 Russell Dr Mineola NY 11501-4734 |
| Practice Telephone | 9174965711 |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2012-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 652906 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SPECIAL EDUCATOR | 17 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063501500 | Grace S Shin | Ophthalmology | 6028 S Fort Apache Rd Ste 101, Las Vegas, NV 89148-5612 | 2006-10-12 |
| 1295724565 | Grace Eun Jin Shin | Dentist | 4823 Little Neck Pkwy, Little Neck, NY 11362-1432 | 2005-10-19 |
| 1154942464 | Grace Shin | Student in an Organized Health Care Education/Training Program | 243 Charles St, Boston, MA 02114-3002 | 2020-04-28 |
| 1508397431 | Grace Shin | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2017-03-22 |
| 1376972638 | Grace Shin | Student in an Organized Health Care Education/Training Program | 1453 16th St, Santa Monica, CA 90404-2715 | 2013-11-07 |
| 1124318217 | Grace H Shin | Internal Medicine | 3401 N Broad St, Department of Gastroenterology & Hepatology, Philadelphia, PA 19140-5103 | 2011-04-11 |
| Street Address |
5 RUSSELL DR |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295261261 | Kristy Slagle | Specialist | 97 Roosevelt Pl, Mineola, NY 11501-3020 | 2017-05-11 |
| 1174957435 | Josephine R O'connor-anderson | Specialist | 322 Latham Rd, Mineola, NY 11501-1105 | 2013-08-22 |
| 1568804995 | Jae H Choi | Specialist | 208 Elm Pl, Mineola, NY 11501-2907 | 2013-07-26 |
| 1851737357 | Jamie Maiden | Specialist | 11 Laurel Dr Apt D11, Mineola, NY 11501-4797 | 2013-05-12 |
| 1013351568 | Cynthia N Hazelton | Specialist | 430 Horton Hwy, Mineola, NY 11501-1420 | 2013-04-25 |
| 1659635613 | Christina Terese Tenaglia | Specialist | 357 1st St, Mineola, NY 11501-3736 | 2012-06-25 |
| 1770846925 | Marcie K Richter | Specialist | 12 Richlee Ct, Apt. 4s, Mineola, NY 11501-3632 | 2012-06-22 |
| 1720340417 | Marcelle Elserafy | Specialist | 40 Plymouth Ave, Mineola, NY 11501-3424 | 2012-06-08 |
| 1407117476 | Vivian Keenan | Specialist | 220 Station Plz N, Ste 400, Mineola, NY 11501 | 2012-06-06 |
| 1699034249 | Yelena Dondik | Specialist | 200 Old Country Rd Ste 350, Mineola, NY 11501 | 2012-05-16 |
| Find all providers in MINEOLA | ||||
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| 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.