MEDICARE: ANNE LIN DDS

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	122300000X	Dentist	530531	NY

General Provider Information

NPI Number	:	1730330606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LIN DDS

Provider Business Mailing Address
First Line	:	1740 2ND AVE
Second Line	:	APT 4E
City	:	NEW YORK
State	:	NY
Zip	:	10128-3522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 2ND AVE
Second Line	:	APT 4E
City	:	NEW YORK
State	:	NY
Zip	:	10128-3522
Country	:	US
Telephone Number	:	917-696-7536
Fax Number	:

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

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	10/09/2008

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Directions to “ ANNE LIN DDS” Practice Location

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