Individual provider · Type 1 NPI

Sophia Vivian Lin, DC

Chiropractor · Port Jefferson Station, NY

NPI number 1235308172 Active

Practice location

379 Old Town Rd
Port Jefferson Station, NY 11776-2245

Mailing address

81 Westchester Dr
Rocky Point, NY 11778-8875

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX011650-1 (NY)
Nutrition Chiropractor 111NN1001XX011650-1 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1235308172

Sophia Vivian Lin, DC's National Provider Identifier is 1235308172, issued on Feb 25, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 18, 2009.