Individual
CLARISSA LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 66TH ST OFC 1409, NEW YORK, NY 10065-6800
(646) 888-5119
Mailing address
300 E 66TH ST OFC 1409, NEW YORK, NY 10065-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA11981600
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
313843
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
11/18/2023
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