Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 282919-1 | NY |
NPI | 1316203763 |
---|---|
Provider Name | Dr. Tara Ann Lynch |
First Address | Albany, NY 12208-3797 |
Second Address | Albany, NY 12208-3797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 21/10/2019 |