Provider Demographics
NPI:1225254097
Name:LIN, JEH-HONG (RPH, MS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JEH-HONG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:RPH, MS, PHARMD
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH, MS, PHARMD
Mailing Address - Street 1:25 RAMSEY RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2201 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1859
Practice Address - Country:US
Practice Address - Phone:516-572-5011
Practice Address - Fax:516-572-3109
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40967183500000X
NJ28RI22922183500000X
NY044325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist