Provider Demographics
NPI:1821300351
Name:LIN, EATON (MD)
Entity Type:Individual
Prefix:DR
First Name:EATON
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:575 LEXINGTON AVE, SUITE 540
Mailing Address - Street 2:NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:212-746-6000
Mailing Address - Fax:646-962-0122
Practice Address - Street 1:525 E 68TH STREET, BOX 141, DEPARTMENT OF RADIOLOGY
Practice Address - Street 2:NEWYORK-PRESBYTERIAN - WEILL CORNELL MEDICAL COLLEGE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4885
Practice Address - Country:US
Practice Address - Phone:212-746-6000
Practice Address - Fax:646-962-0122
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2023-08-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2783312085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program