Provider Demographics
NPI:1891060661
Name:LIN, CHIA-YU (RN)
Entity Type:Individual
Prefix:MS
First Name:CHIA-YU
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1303
Mailing Address - Country:US
Mailing Address - Phone:718-263-1919
Mailing Address - Fax:718-575-4069
Practice Address - Street 1:6325 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1303
Practice Address - Country:US
Practice Address - Phone:718-263-1919
Practice Address - Fax:718-575-4069
Is Sole Proprietor?:No
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY538481-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse