Provider Demographics
NPI:1548068299
Name:JIN, YULIN (LAC)
Entity type:Individual
Prefix:MISS
First Name:YULIN
Middle Name:
Last Name:JIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MISS
Other - First Name:YULIN
Other - Middle Name:
Other - Last Name:JIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:208 HULL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3504
Mailing Address - Country:US
Mailing Address - Phone:610-662-9438
Mailing Address - Fax:
Practice Address - Street 1:208 HULL AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3504
Practice Address - Country:US
Practice Address - Phone:610-662-9438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007649171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist