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NPI Code Detail

MEDICARE: MR. RONGSHENG LIN L.AC.,PH.D.

MEDICARE:  MR. RONGSHENG  LIN  L.AC.,PH.D.
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
1171100000XAcupuncturist000554NY
2171100000XAcupuncturist511MA

General Provider Information

NPI Number : 1730206152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONGSHENG LIN L.AC.,PH.D.
Provider Business Mailing Address
First Line : 50 BAYARD ST
Second Line : 7E
City : NEW YORK
State : NY
Zip : 10013-4903
Country : US
Telephone Number : 212-334-9117
Fax Number : 212-334-9347
Provider Business Practice Location Address
First Line : 40 ELIZABETH ST
Second Line : SUITE 408
City : NEW YORK
State : NY
Zip : 10013-5608
Country : US
Telephone Number : 212-334-9117
Fax Number : 212-334-9347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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