MEDICARE: YUANYUAN 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	171100000X	Acupuncturist	005279	NY

General Provider Information

NPI Number	:	1811536097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUANYUAN LIN

Provider Business Mailing Address
First Line	:	53 WOODBURY RD
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 WOODBURY RD
Second Line	:
City	:	HICKSVILLE
State	:	NY
Zip	:	11801-3041
Country	:	US
Telephone Number	:	908-887-1595
Fax Number	:

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

Provider Enumeration Date	:	01/05/2020
Last Update Date	:	01/05/2020

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Directions to “ YUANYUAN LIN ” Practice Location

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