Provider Demographics
NPI:1730206152
Name:LIN, RONGSHENG (LAC,PHD)
Entity type:Individual
Prefix:MR
First Name:RONGSHENG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:LAC,PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:50 BAYARD ST
Mailing Address - Street 2:7E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4903
Mailing Address - Country:US
Mailing Address - Phone:212-334-9117
Mailing Address - Fax:212-334-9347
Practice Address - Street 1:40 ELIZABETH ST
Practice Address - Street 2:SUITE 408
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5608
Practice Address - Country:US
Practice Address - Phone:212-334-9117
Practice Address - Fax:212-334-9347
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY000554171100000X
MA511171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist