Provider Demographics
NPI:1104249671
Name:KUFNER, LYNN (MED, EDS)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:KUFNER
Suffix:
Gender:F
Credentials:MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 W 48TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1324
Mailing Address - Country:US
Mailing Address - Phone:212-655-9605
Mailing Address - Fax:
Practice Address - Street 1:353 W 48TH ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1324
Practice Address - Country:US
Practice Address - Phone:212-655-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist