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Individual

ANNA LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14015 SANFORD AVE STE B, FLUSHING, NY 11355-2688
(718) 358-8288
Mailing address
75 SPEEDWELL AVE FL 1, STATEN ISLAND, NY 10314-3209
(917) 403-1268

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
858041590
NY
Enumeration date
04/28/2022
Last updated
04/28/2022
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