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NPI Code Detail

MEDICARE: MISS YULIN JIN LAC

MEDICARE:  MISS YULIN  JIN  LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist007649NY

General Provider Information

NPI Number : 1548068299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS YULIN JIN LAC
Provider Business Mailing Address
First Line : 208 HULL AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3504
Country : US
Telephone Number : 610-662-9438
Fax Number :
Provider Business Practice Location Address
First Line : 208 HULL AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-3504
Country : US
Telephone Number : 610-662-9438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 03/19/2025

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Directions to “ MISS YULIN JIN LAC” Practice Location

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