Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 201700 | NY |
Y | 2080P0201X | Pediatric Allergist | 201700 | NY |
NPI | 1801885447 |
---|---|
Provider Name | Deborah Lin |
First Address | New York, NY 10013-4135 |
Second Address | New York, NY 10013-4135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 13/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02179399 | (05) | NY |