Individual
DR. DAVID PENN LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 MIDDLEVILLE RD, BUILDING 200, PAVILLION QUAD 2G, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 754-7938
Mailing address
79 MIDDLEVILLE ROAD, BUILDING 9, ROOM 135, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 754-7937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60 197726
NY
2083C0008X
Clinical Informatics Physician
197726
NY
Other
Enumeration date
04/06/2006
Last updated
06/22/2022
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