Provider Demographics
NPI:1285842062
Name:ZUCKER HILLSIDE HOSPITAL
Entity Type:Organization
Organization Name:ZUCKER HILLSIDE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSE STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:HOONHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-470-8005
Mailing Address - Street 1:7516 182ND ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1614
Mailing Address - Country:US
Mailing Address - Phone:917-834-5227
Mailing Address - Fax:
Practice Address - Street 1:7959 263RD ST
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004-1306
Practice Address - Country:US
Practice Address - Phone:718-780-4265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital