Healthcare Provider Details

I. General information

NPI: 1952265092
Provider Name (Legal Business Name): YAN LIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13703 NORTHERN BLVD FL 2
FLUSHING NY
11354-4116
US

IV. Provider business mailing address

1 WALNUT PL
GREAT NECK NY
11021-3247
US

V. Phone/Fax

Practice location:
  • Phone: 347-232-8999
  • Fax:
Mailing address:
  • Phone: 347-232-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: