Provider Demographics
NPI:1386885028
Name:LYNCH, PAT (CFO)
Entity type:Individual
Prefix:
First Name:PAT
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 690277
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-0762
Mailing Address - Country:US
Mailing Address - Phone:646-250-0875
Mailing Address - Fax:
Practice Address - Street 1:4730 BRONX BLVD, GROUND FLOOR
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1002
Practice Address - Country:US
Practice Address - Phone:646-250-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03221171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor