Individual provider · Type 1 NPI

Jinshan Jin

Surgical Physician Assistant · Utica, NY

NPI number 1750869491 Active

Practice location

1903 Sunset Ave # 3
Utica, NY 13502-5617

Call (315) 797-1212 Map

Mailing address

2209 Genesee Street, Business Office Room 310
Utica, NY 13501-5930

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X022394 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1750869491

Jinshan Jin's National Provider Identifier is 1750869491, issued on Aug 3, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Utica, NY. The record was last updated on Aug 23, 2018.