Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 222678 | NY |
NPI | 1013942697 |
---|---|
Provider Name | Dr. Richard Lin |
First Address | Stony Brook, NY 11790 |
Second Address | Stony Brook, NY 11794 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02181964 | (05) | NY |
2Z4061 | EMPIRE BC.BS (01) | NY |
4582195 | AETNA (01) | NY |
F69629 | (02) | NY |