MEDICARE: LINLI YAN-ROSENBERG M.D.

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	207V00000X	Obstetrics & Gynecology Physician	243626	NY

General Provider Information

NPI Number	:	1669683819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINLI YAN-ROSENBERG M.D.

Provider Business Mailing Address
First Line	:	825 57TH ST
Second Line	:	SUITE 102
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3648
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 57TH ST
Second Line	:	SUITE 102
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3648
Country	:	US
Telephone Number	:	718-676-1550
Fax Number	:	718-676-1553

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

Provider Enumeration Date	:	05/26/2007
Last Update Date	:	01/13/2012

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