Individual
GRACE C LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
125064264
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2011
Last updated
04/14/2016
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