Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 421369 | NY |
NPI | 1073082525 |
---|---|
Provider Name | Rachel Lin |
First Address | Flushing, NY 11354-6533 |
Second Address | Flushing, NY 11354-6533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2018 |
Last Update Date | 14/11/2018 |