Provider Demographics
NPI:1932712817
Name:LIN, GUOYI
Entity Type:Individual
Prefix:
First Name:GUOYI
Middle Name:
Last Name:LIN
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 1:13351 41ST RD FIRST FLOOR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5837
Mailing Address - Country:US
Mailing Address - Phone:646-515-3531
Mailing Address - Fax:
Practice Address - Street 1:13351 41ST RD FIRST FLOOR
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5837
Practice Address - Country:US
Practice Address - Phone:646-515-3531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy