Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willis Lin

Individual provider Family Medicine Physician · NPI 1790487692

Willis Lin is a Family Practice in Plainview, New York. Qualified in 2023, 3 years ago. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

888 Old Country Rd
Plainview, NY 11803-4914
Phone: (516) 876-6719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332179 (NY)

Record details

NPI number1790487692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address888 Old Country Rd, Plainview, NY 11803-4914

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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