Provider Demographics
NPI:1962765495
Name:HYNES, LYNDA (MSED)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:
Last Name:HYNES
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S BROADWAY UNIT B3
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5604
Mailing Address - Country:US
Mailing Address - Phone:914-552-0993
Mailing Address - Fax:
Practice Address - Street 1:330 S BROADWAY UNIT B3
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5604
Practice Address - Country:US
Practice Address - Phone:914-552-0993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist