Provider Demographics
NPI:1598349029
Name:LIN, LINDA YING (PA-C)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:YING
Last Name:LIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1855 MEADOW RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-7004
Mailing Address - Country:US
Mailing Address - Phone:646-717-7265
Mailing Address - Fax:
Practice Address - Street 1:864 BROADWAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1501
Practice Address - Country:US
Practice Address - Phone:717-632-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY026602363A00000X
PAMA062502363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant