Brazee, Lynn

Brazee, Lynn is an individual health care provider with primary practice located at 1200 Driving Park Ave , Newark NY 14513-1057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brazee, Lynn can be contacted via phone (315) 359-2167.

Contact Information

Primary practice address
1200 Driving Park Ave Newark NY 14513-1057
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 331829 New York

Profile Details

NPI number 1720004328
LBN Legal business name Brazee, Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720004328 NPPES
New York MEDICAID 02648135

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