Provider Demographics
NPI:1306099809
Name:LIN, DOROTHY (RPH)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PONDFIELD RD W
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-2632
Mailing Address - Country:US
Mailing Address - Phone:914-346-5600
Mailing Address - Fax:914-268-0874
Practice Address - Street 1:57 PONDFIELD RD W
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-2632
Practice Address - Country:US
Practice Address - Phone:914-346-5600
Practice Address - Fax:914-268-0874
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist