Provider Demographics
NPI:1043472046
Name:LIN, EMILY (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 W 42ND ST
Mailing Address - Street 2:S-37C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2014
Mailing Address - Country:US
Mailing Address - Phone:847-942-8998
Mailing Address - Fax:
Practice Address - Street 1:620 W 42ND ST
Practice Address - Street 2:S-37C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2014
Practice Address - Country:US
Practice Address - Phone:847-942-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266162207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program