Provider Demographics
NPI:1790160398
Name:LIN, QIN
Entity Type:Individual
Prefix:MISS
First Name:QIN
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:QIN
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:13710 FRANKLIN AVE APT 514
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3810
Mailing Address - Country:US
Mailing Address - Phone:646-525-7723
Mailing Address - Fax:
Practice Address - Street 1:13710 FRANKLIN AVE APT 514
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3810
Practice Address - Country:US
Practice Address - Phone:646-525-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060717183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist