MEDICARE: YANGJING LIN NP

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	363LA2200X	Adult Health Nurse Practitioner	310285	NY

General Provider Information

NPI Number	:	1053085894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANGJING LIN NP

Provider Business Mailing Address
First Line	:	837 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3611
Country	:	US
Telephone Number	:	718-680-8881
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 BOWERY FL 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-4955
Country	:	US
Telephone Number	:	212-966-8216
Fax Number	:

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

Provider Enumeration Date	:	08/05/2021
Last Update Date	:	08/05/2021

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Directions to “ YANGJING LIN NP” Practice Location

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