Provider Demographics
NPI:1821494055
Name:SHINOHARA, CHIHIRO (PA-C)
Entity Type:Individual
Prefix:
First Name:CHIHIRO
Middle Name:
Last Name:SHINOHARA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WESTCHESTER PARK DR
Mailing Address - Street 2:STE 320
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3497
Mailing Address - Country:US
Mailing Address - Phone:914-948-8003
Mailing Address - Fax:914-686-5478
Practice Address - Street 1:4 WESTCHESTER PARK DR
Practice Address - Street 2:STE 320
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3497
Practice Address - Country:US
Practice Address - Phone:914-948-8003
Practice Address - Fax:914-686-5478
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018092363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant