Individual
LIN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 630-2582
(716) 630-2594
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
236680-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027259902
UNIVERA
NY
01
—
000528225001
HEALTH NOW
NY
05
—
02684733
—
NY
01
—
1112968
IHA
NY
01
—
161000580
EMPIRE PLAN
NY
01
—
236680
NYS LICENSE REGISTRATION
NY
Enumeration date
01/11/2006
Last updated
12/20/2021
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