Provider Demographics
NPI:1639445133
Name:LIN, ZHEN HUA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ZHEN
Middle Name:HUA
Last Name:LIN
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56-45 MAIN ST
Mailing Address - Street 2:NEWYORK-PRESBYTERIAN MEDICAL GROUP QUEENS
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:56-45 MAIN ST
Practice Address - Street 2:NEWYORK-PRESBYTERIAN MEDICAL GROUP QUEEN
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3051
Practice Address - Country:US
Practice Address - Phone:718-666-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23015531363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant