Provider Demographics
NPI:1811181894
Name:LIN, YA-SUI (AP/DOM)
Entity type:Individual
Prefix:MISS
First Name:YA-SUI
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:AP/DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4701
Mailing Address - Country:US
Mailing Address - Phone:321-795-0373
Mailing Address - Fax:
Practice Address - Street 1:1225 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4701
Practice Address - Country:US
Practice Address - Phone:321-795-0373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2371171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist