Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036134954 | IL |
N | 208600000X | Surgeon | 036134954 | IL |
N | 208200000X | Surgeon | ME124351 | FL |
N | 208600000X | Surgeon | ME124351 | FL |
Y | 2086S0120X | Pediatric Surgery | 287034-1 | NY |
NPI | 1598949885 |
---|---|
Provider Name | Dr. Lynn Model |
First Address | Brooklyn, NY 11219-3309 |
Second Address | Brooklyn, NY 11219-3309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2007 |
Last Update Date | 05/10/2017 |