Doctor Name: | MS. ABBY RENEE BAKER-LYNCH |
NPI Number: | 1013151299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 211-11 Northern Blvd Yai Bayside, NY - 11361 |
Business Phone Number: | 7187051000 |
Business Fax Number: | |
Mailing Address: | Yai 211-11 Northern Blvd, BAYSIDE |
State: | NY |
Postal Code: | 11361 |
Phone Number: | 2122736408 |
Fax Number: | 7184459283 |
NPI Enumeration Date: | 05/01/2009 |
NPI Last Update Date: | 05/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |