| Shen-han Lin Medical Pc | |
|
13342 39th Ave Ste 253 Flushing NY 11354-4516 | |
| (718) 772-3187 | |
| Not Available |
| Full Name | Shen-han Lin Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13342 39th Ave Ste 253, Flushing, New York |
| Authorized Official Name and Position | Shen-han Lin (PHYSICIAN) |
| Authorized Official Contact | 5165098499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shen-han Lin Medical Pc 13342 39th Ave Ste 253 Flushing NY 11354-4516 Ph: (718) 888-0566 | Shen-han Lin Medical Pc 13342 39th Ave Ste 253 Flushing NY 11354-4516 Ph: (718) 772-3187 |
| NPI Number | 1487153425 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 03/12/2018 |
| Medicare PECOS PAC ID | 0547524704 |
|---|---|
| Medicare Enrollment ID | O20190107000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487153425 | NPI | - | NPPES |
| 03427745 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 255339 (New York) | Primary |
| Provider Name | Shen-han Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225230154 PECOS PAC ID: 9830407907 Enrollment ID: I20151009001294 |
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