Individual
IVY LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-8110
Mailing address
PO BOX 1070, NEW YORK, NY 10029-0310
(212) 241-8110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04244
RI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
312425
NY
Other
Enumeration date
05/29/2018
Last updated
12/29/2022
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