Individual provider · Type 1 NPI

Lina S. Budianto

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1114188513 Active

Practice location

800 Poly Pl
Brooklyn, NY 11209-7104

Call (718) 836-6600 Map

Mailing address

70 E 12th St, 4A
New York, NY 10003-5040

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114188513

Lina S. Budianto's National Provider Identifier is 1114188513, issued on Jun 19, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 19, 2008.