Provider Demographics
NPI:1861154247
Name:YIN, LIMIN
Entity type:Individual
Prefix:
First Name:LIMIN
Middle Name:
Last Name:YIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14731 38TH AVE APT A21
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4864
Mailing Address - Country:US
Mailing Address - Phone:347-241-3989
Mailing Address - Fax:
Practice Address - Street 1:14731 38TH AVE APT A21
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4864
Practice Address - Country:US
Practice Address - Phone:347-241-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031666208100000X
NY007036171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation