Provider Demographics
NPI:1659761906
Name:SARAH YIN MEDICAL PLLC
Entity Type:Organization
Organization Name:SARAH YIN MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAOQIN
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:YIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-213-6118
Mailing Address - Street 1:136-20 38 AVE. SUITE 6F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354
Mailing Address - Country:US
Mailing Address - Phone:718-213-6118
Mailing Address - Fax:
Practice Address - Street 1:136-20 38 AVE. SUITE 6F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-213-6118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274187261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04012566Medicaid