Provider Demographics
NPI:1588865976
Name:LYNCH, DEBORAH A (MS APRN, BC COHN-S)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:A
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MS APRN, BC COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E END AVE
Mailing Address - Street 2:10 J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7831
Mailing Address - Country:US
Mailing Address - Phone:212-722-4168
Mailing Address - Fax:
Practice Address - Street 1:300 W 57TH ST
Practice Address - Street 2:HEARST CORP. WELLNESS CENTER 14TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3741
Practice Address - Country:US
Practice Address - Phone:212-649-2748
Practice Address - Fax:212-649-2739
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331307-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health