Provider Demographics
NPI:1063683936
Name:LIN, KEN YU (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KEN
Middle Name:YU
Last Name:LIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:1695 EASTCHESTER RD STE 601
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2376
Mailing Address - Country:US
Mailing Address - Phone:718-405-8082
Mailing Address - Fax:718-405-8087
Practice Address - Street 1:1695 EASTCHESTER RD STE 601
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8082
Practice Address - Fax:718-405-8087
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2018-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY293320207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology