Provider Demographics
NPI:1558305649
Name:SHIH, DAVID YU-CHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:YU-CHIN
Last Name:SHIH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WEST 23RD STREET
Mailing Address - Street 2:CITYMD URGENT CARE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-772-3627
Mailing Address - Fax:
Practice Address - Street 1:37 WEST 23RD STREET
Practice Address - Street 2:CITYMD URGENT CARE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-772-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235061207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI47519Medicare UPIN
NY2094Q1Medicare ID - Type Unspecified