Individual
NA YIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(516) 734-7000
Mailing address
4028 COLLEGE POINT BLVD APT 1508, FLUSHING, NY 11354-5152
(646) 203-9603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308738
NY
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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