Provider Demographics
NPI:1932553427
Name:MA, LINKE
Entity Type:Individual
Prefix:
First Name:LINKE
Middle Name:
Last Name:MA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13630 MAPLE AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3867
Mailing Address - Country:US
Mailing Address - Phone:718-799-0958
Mailing Address - Fax:718-799-0959
Practice Address - Street 1:13630 MAPLE AVE STE 2B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3867
Practice Address - Country:US
Practice Address - Phone:718-799-0958
Practice Address - Fax:718-799-0959
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine