Provider Demographics
NPI:1235279563
Name:SHIN, LINDA UNMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:UNMI
Last Name:SHIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 CENTRAL PARK W
Mailing Address - Street 2:#2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4103
Mailing Address - Country:US
Mailing Address - Phone:212-787-8188
Mailing Address - Fax:
Practice Address - Street 1:300 N MIDDLETOWN RD
Practice Address - Street 2:SUITE 7
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1262
Practice Address - Country:US
Practice Address - Phone:845-623-1919
Practice Address - Fax:845-623-7784
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0493871223E0200X
CA451921223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics