Provider Demographics
NPI:1487915500
Name:ISHMAN, LYNN DEBRA (MS SPECIAL ED)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:DEBRA
Last Name:ISHMAN
Suffix:
Gender:F
Credentials:MS SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 90TH ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-2813
Mailing Address - Country:US
Mailing Address - Phone:716-622-9542
Mailing Address - Fax:
Practice Address - Street 1:1045 90TH ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-2813
Practice Address - Country:US
Practice Address - Phone:716-622-9542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist