MEDICARE: LIN N OO

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
1	251B00000X	Case Management Agency	LA-1748865	NY

General Provider Information

NPI Number	:	1558251298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIN N OO

Provider Business Mailing Address
First Line	:	1922 E 16TH ST FL 11922E16
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3402
Country	:	US
Telephone Number	:	516-513-4347
Fax Number	:

Provider Business Practice Location Address
First Line	:	1922 E 16TH ST FL 11922E16
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3402
Country	:	US
Telephone Number	:	516-513-4347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2025
Last Update Date	:	07/05/2025

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Directions to “ LIN N OO ” Practice Location

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