Provider Demographics
NPI:1932244274
Name:LIN, ROBERT YAO-WEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:YAO-WEN
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 W 26TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1145
Mailing Address - Country:US
Mailing Address - Phone:646-665-1313
Mailing Address - Fax:646-665-1833
Practice Address - Street 1:37 W 26TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-1145
Practice Address - Country:US
Practice Address - Phone:646-665-1313
Practice Address - Fax:646-665-1833
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131322-1207K00000X, 207KI0005X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10474Medicare UPIN