Provider Demographics
NPI:1891784963
Name:SHANG, YIN-YIN (DDS)
Entity Type:Individual
Prefix:
First Name:YIN-YIN
Middle Name:
Last Name:SHANG
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 1:2 W 45TH ST
Mailing Address - Street 2:#1600
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4212
Mailing Address - Country:US
Mailing Address - Phone:212-730-6900
Mailing Address - Fax:212-730-7477
Practice Address - Street 1:2 W 45TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4213
Practice Address - Country:US
Practice Address - Phone:212-730-7477
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist