Provider Demographics
NPI:1386969939
Name:GUILFOYLE, LYNN (RN)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:GUILFOYLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PELTON ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1908
Mailing Address - Country:US
Mailing Address - Phone:845-794-3283
Mailing Address - Fax:
Practice Address - Street 1:14 PELTON ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1908
Practice Address - Country:US
Practice Address - Phone:845-794-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY424464-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY146013200OtherROCKLAND PSYCHIATRIC CENTER EIN