Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 052736-1 | NY |
NPI | 1023272630 |
---|---|
Provider Name | Hong Yin |
First Address | New York, NY 10017-1500 |
Second Address | New York, NY 10003-4709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2008 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0193291 | (05) | NJ |