| Kelin Medical Pc | |
|
5303 8th Ave Brooklyn NY 11220-3201 | |
| (312) 933-5621 | |
| Not Available |
| Full Name | Kelin Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5303 8th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Congrong Lin (MD, PHD) |
| Authorized Official Contact | 3129335621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelin Medical Pc 150 Myrtle Ave Apt 504 Brooklyn NY 11201-2911 Ph: (312) 933-5621 | Kelin Medical Pc 5303 8th Ave Brooklyn NY 11220-3201 Ph: (312) 933-5621 |
| NPI Number | 1821488545 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Medicare PECOS PAC ID | 5294052486 |
|---|---|
| Medicare Enrollment ID | O20150327000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821488545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 263245 (New York) | Primary |
| 282N00000X | General Acute Care Hospital | 263245 (New York) | Secondary |
| Provider Name | Congrong Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457643306 PECOS PAC ID: 3476777939 Enrollment ID: I20150327001066 |
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