Provider Demographics
NPI:1669683819
Name:YAN-ROSENBERG, LINLI (MD)
Entity Type:Individual
Prefix:
First Name:LINLI
Middle Name:
Last Name:YAN-ROSENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINLI
Other - Middle Name:
Other - Last Name:YAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:825 57TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 57TH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3648
Practice Address - Country:US
Practice Address - Phone:718-676-1550
Practice Address - Fax:718-676-1553
Is Sole Proprietor?:No
Enumeration Date:2007-05-26
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243626207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology