Provider Demographics
NPI:1861035263
Name:LIN, HAI (DR)
Entity Type:Individual
Prefix:
First Name:HAI
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W 37TH ST RM 1202
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7375
Mailing Address - Country:US
Mailing Address - Phone:212-777-4374
Mailing Address - Fax:
Practice Address - Street 1:12 W 37TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7480
Practice Address - Country:US
Practice Address - Phone:212-777-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2022-10-12
Deactivation Date:2022-08-21
Deactivation Code:
Reactivation Date:2022-10-12
Provider Licenses
StateLicense IDTaxonomies
NY0437652251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic