Provider Demographics
NPI:1558251298
Name:OO, LIN N
Entity type:Individual
Prefix:
First Name:LIN
Middle Name:N
Last Name:OO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 E 16TH ST FL 11922E16
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3402
Mailing Address - Country:US
Mailing Address - Phone:516-513-4347
Mailing Address - Fax:
Practice Address - Street 1:1922 E 16TH ST FL 11922E16
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3402
Practice Address - Country:US
Practice Address - Phone:516-513-4347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLA-1748865251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management