Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 293320 | NY |
NPI | 1063683936 |
---|---|
Provider Name | Dr. Ken Yu Lin |
First Address | Bronx, NY 10461-2376 |
Second Address | Bronx, NY 10461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2008 |
Last Update Date | 09/07/2018 |