Doctor Name: | MISS XIAO LI LIN |
NPI Number: | 1265786057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 016195 |
Business Practice Address: | 8791 193rd St Hollis, NY - 114231440 |
Business Phone Number: | 7187405440 |
Business Fax Number: | 7187405447 |
Mailing Address: | 19622 51st Ave, FRESH MEADOWS |
State: | NY |
Postal Code: | 113651311 |
Phone Number: | 9175956887 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2012 |
NPI Last Update Date: | 01/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 016195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |