MEDICARE: XIANGFEI LIN

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	183500000X	Pharmacist	064133	NY

General Provider Information

NPI Number	:	1558994764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIANGFEI LIN

Provider Business Mailing Address
First Line	:	3625 UNION ST APT 2F
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4170
Country	:	US
Telephone Number	:	917-667-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	3663 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10031-1502
Country	:	US
Telephone Number	:	212-491-2910
Fax Number	:

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

Provider Enumeration Date	:	02/16/2020
Last Update Date	:	02/16/2020

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Directions to “ XIANGFEI LIN ” Practice Location

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