Provider Demographics
NPI:1316109002
Name:WIN, YIN YIN (MD)
Entity type:Individual
Prefix:DR
First Name:YIN
Middle Name:YIN
Last Name:WIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YIN
Other - Middle Name:YIN
Other - Last Name:WIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:128 MOTT ST STE 601
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5589
Mailing Address - Country:US
Mailing Address - Phone:646-895-9200
Mailing Address - Fax:347-772-3446
Practice Address - Street 1:128 MOTT ST STE 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5589
Practice Address - Country:US
Practice Address - Phone:646-895-9200
Practice Address - Fax:347-772-3446
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255143207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine