Most Relevant Information
Provider Data
NPI Number: | 1003393463 |
Provider Name: | ANITA LIN PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 022348 |
Most Important Dates
Enumeration Date: | 07/27/2018 |
Last Updated: | 05/13/2019 |
Provider Practice Location
749 61ST ST STE 102
BROOKLYN
NY
112204211
Practice Location Phone/Fax
Phone: | 7183335537 |
Fax: |
Provider Mailing Location
749 61ST ST STE 102
BROOKLYN
NY
112204211
Provider Mailing Phone/Fax
Phone: | 7183335537 |
Fax: |