Individual
SHAO LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 ELIZABETH ST # 5A, NEW YORK, NY 10013-4617
(212) 966-0819
Mailing address
5217 79TH ST, ELMHURST, NY 11373-4112
(917) 496-8088
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403795
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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