| Linli Yan-rosenberg, Physician, P.c. | |
|
825 57th St Suite 102 Brooklyn NY 11220-3648 | |
| (718) 676-1550 | |
| (718) 676-1553 |
| Full Name | Linli Yan-rosenberg, Physician, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 57th St, Brooklyn, New York |
| Authorized Official Name and Position | Linli Yan-rosenberg (PRESITENT/DIRECTOR) |
| Authorized Official Contact | 19175738506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linli Yan-rosenberg, Physician, P.c. 825 57th St Suite 102 Brooklyn NY 11220-3648 Ph: (718) 676-1550 | Linli Yan-rosenberg, Physician, P.c. 825 57th St Suite 102 Brooklyn NY 11220-3648 Ph: (718) 676-1550 |
| NPI Number | 1336388057 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 7214087584 |
|---|---|
| Medicare Enrollment ID | O20090608000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336388057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 243626 (New York) | Primary |
| Provider Name | Linli Yan-rosenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669683819 PECOS PAC ID: 2466541537 Enrollment ID: I20071128000227 |
| Provider Name | Cindy Chi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619278538 PECOS PAC ID: 2466631064 Enrollment ID: I20110128000400 |
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