Basic Information
| Provider Information | |||||||||
| NPI: | 1730187543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHIM- CHANG | ||||||||
| FirstName: | HELEN | ||||||||
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| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 E 98TH ST FL 5 | ||||||||
| Address2: | MOUNT SINAI MEDICAL CENTER, DEPT OF DERMATOLOGY | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122419728 | ||||||||
| FaxNumber: | 2129871197 | ||||||||
| Practice Location | |||||||||
| Address1: | 5 E 98TH ST FL 5 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122413050 | ||||||||
| FaxNumber: | 2129871197 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2005 | ||||||||
| LastUpdateDate: | 05/13/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | 192475 | NY | N | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology | 207ZP0101X | 192475 | NY | N | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology | 207N00000X | 192475 | NY | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.