Individual
MISS ALYSEN LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)(CT)
Contact information
Practice address
920 JEFFERSON ST, BALDWIN, NY 11510-4743
(516) 717-8355
Mailing address
920 JEFFERSON ST, BALDWIN, NY 11510-4743
(516) 717-8355
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
415387
NY
2471C3401X
Computed Tomography Radiologic Technologist
415387
NY
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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