Individual
JEREMY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
522 LEFFERTS AVE APT 3H, BROOKLYN, NY 11225-4466
(908) 612-7182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
313070
NY
208M00000X
Hospitalist Physician
Primary
313070
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
11/04/2022
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