Individual
MICHELLE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2216
(516) 663-8585
Mailing address
216 1ST ST, MINEOLA, NY 11501-3901
(516) 741-0570
(516) 741-8276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
576722
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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