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NPI Code Detail

MEDICARE: PHILIP S LIN MD

MEDICARE: PHILIP S LIN MD
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
1207L00000XAnesthesiology Physician322153NY

General Provider Information

NPI Number : 1316442510
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP S LIN MD
Provider Business Mailing Address
First Line : 30 JOHNSON AVE
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-2108
Country : US
Telephone Number : 201-655-2030
Fax Number :
Provider Business Practice Location Address
First Line : 100 WOODS RD
Second Line :
City : VALHALLA
State : NY
Zip : 10595-1530
Country : US
Telephone Number : 914-493-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 06/06/2026

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Directions to “ PHILIP S LIN MD” Practice Location

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