Provider Demographics
NPI:1699973545
Name:SHIN, WILLIAM SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:SHIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-0192
Mailing Address - Country:US
Mailing Address - Phone:516-629-2468
Mailing Address - Fax:516-629-2452
Practice Address - Street 1:100 PORT WASHINGTON BLVD
Practice Address - Street 2:ST. FRANCIS HOSPITAL ARRHYTHMIA AND PACEMAKER CENTER
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1347
Practice Address - Country:US
Practice Address - Phone:516-414-3217
Practice Address - Fax:516-562-6671
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2010-09-27
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Provider Licenses
StateLicense IDTaxonomies
NY256125207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology