Healthcare Provider Details

I. General information

NPI: 1831677178
Provider Name (Legal Business Name): YAN LIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13527 38TH AVE FL 2
FLUSHING NY
11354-4449
US

IV. Provider business mailing address

366 5TH AVE FL 4
NEW YORK NY
10001-2241
US

V. Phone/Fax

Practice location:
  • Phone: 718-886-5068
  • Fax: 718-886-5972
Mailing address:
  • Phone: 646-289-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number607535
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: