Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 131322-1 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 131322-1 | NY |
NPI | 1932244274 |
---|---|
Provider Name | Dr. Robert Yao-Wen Lin |
First Address | New York, NY 10010-1145 |
Second Address | New York, NY 10010-1145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 10/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C10474 | (02) | NY |