Individual
JACQUELINE TIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE LEVY PLACE, BOX 1149, NEW YORK, NY 10029
(212) 824-8069
Mailing address
1 3RD AVE APT 911, MINEOLA, NY 11501-4349
(646) 736-8958
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UNKNOWN
NY
Other
Enumeration date
03/21/2017
Last updated
04/25/2023
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