Individual
KENNETH LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9825 HORACE HARDING EXPY, CORONA, NY 11368-4627
(718) 962-0888
Mailing address
838 44TH ST APT 1R, BROOKLYN, NY 11220-1653
(917) 344-0819
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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