| Tun Lin Md., Pc | |
|
9024 Corona Ave Elmhurst NY 11373-4047 | |
| (718) 592-4900 | |
| (718) 592-3863 |
| Full Name | Tun Lin Md., Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9024 Corona Ave, Elmhurst, New York |
| Authorized Official Name and Position | Tun Lin (CEO) |
| Authorized Official Contact | 7185924900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tun Lin Md., Pc 5023 229th St Oakland Gardens NY 11364-1515 Ph: (718) 423-0184 | Tun Lin Md., Pc 9024 Corona Ave Elmhurst NY 11373-4047 Ph: (718) 592-4900 |
| NPI Number | 1073766648 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 03/17/2010 |
| Medicare PECOS PAC ID | 8224163233 |
|---|---|
| Medicare Enrollment ID | O20100316000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073766648 | NPI | - | NPPES |
| 01707437 | Medicaid | NY | |
| 03147 | Other | NY | GHI MEDICARE |
| 943923 | Other | NY | EMPIRE MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 202102 (New York) | Primary |
| Provider Name | Tun Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134195738 PECOS PAC ID: 6406861491 Enrollment ID: I20060213000382 |
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