Provider Demographics
NPI:1780772947
Name:LIN, YONG SHENG (MD)
Entity type:Individual
Prefix:
First Name:YONG
Middle Name:SHENG
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:217 GRAND ST
Mailing Address - Street 2:3RD FLOOR ROOM 301
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4286
Mailing Address - Country:US
Mailing Address - Phone:212-226-9717
Mailing Address - Fax:212-226-9723
Practice Address - Street 1:217 GRAND ST
Practice Address - Street 2:3RD FLOOR ROOM 301
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4286
Practice Address - Country:US
Practice Address - Phone:212-226-9717
Practice Address - Fax:212-226-9723
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY203439207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01683196Medicaid
NYG39328Medicare UPIN
NY01683196Medicaid