Provider Demographics
NPI:1568208981
Name:LIN, SHAW WEI (RDMS)
Entity type:Individual
Prefix:
First Name:SHAW WEI
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 73RD ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3093
Mailing Address - Country:US
Mailing Address - Phone:574-596-5654
Mailing Address - Fax:
Practice Address - Street 1:3712 108TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2025
Practice Address - Country:US
Practice Address - Phone:718-589-2440
Practice Address - Fax:718-991-1268
Is Sole Proprietor?:No
Enumeration Date:2024-07-04
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2140202471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography