Basic Information
Provider Information
NPI: 1790172856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIN
FirstName: CHI-YING
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 GREENWAY PLZ
Address2: STE 900
City: HOUSTON
State: TX
PostalCode: 770460205
CountryCode: US
TelephoneNumber: 7137981750
FaxNumber:  
Practice Location
Address1: 710 W 168TH ST FL 3
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323726
CountryCode: US
TelephoneNumber: 2123051303
FaxNumber: 2123051304
Other Information
ProviderEnumerationDate: 04/16/2015
LastUpdateDate: 08/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X62342NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X47717TXN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X47365TXY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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