Individual provider · Type 1 NPI

Tae Ho Shin

Physician Assistant · Syracuse, NY

NPI number 1386477032 Active

Practice location

1419 Salt Springs Rd
Syracuse, NY 13214-1300

Call (315) 445-4100 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386477032

Tae Ho Shin's National Provider Identifier is 1386477032, issued on Aug 20, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Syracuse, NY. The record was last updated on Aug 30, 2026.