Provider Demographics
NPI:1558897876
Name:LIN, WEN-HSUAN WENDY (MD)
Entity Type:Individual
Prefix:DR
First Name:WEN-HSUAN
Middle Name:WENDY
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WEN-HSUAN
Other - Middle Name:WENDY
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:630 W 168TH ST
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY & CELL BIOLOGY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3725
Mailing Address - Country:US
Mailing Address - Phone:212-305-5697
Mailing Address - Fax:
Practice Address - Street 1:630 W 168TH ST
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY & CELL BIOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3725
Practice Address - Country:US
Practice Address - Phone:212-305-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311560207ZH0000X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology