Doctor Name: | KATHLEEN MARY LYNCH |
NPI Number: | 1033242920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS APRN BC NP |
License Number: | F400784-1 |
Business Practice Address: | 108 Lee Rd Garden City, NY - 115302520 |
Business Phone Number: | 5162943454 |
Business Fax Number: | |
Mailing Address: | 108 Lee Rd, GARDEN CITY |
State: | NY |
Postal Code: | 115302520 |
Phone Number: | 5162943454 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400784-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |