Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 33 339233 | NY |
NPI | 1013243385 |
---|---|
Provider Name | Mr. James Hubert Lynch |
First Address | Shortsville, NY 14548-9722 |
Second Address | Seneca Falls, NY 13148-1417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2009 |
Last Update Date | 27/10/2014 |