Humphrey, Lynne A.

Humphrey, Lynne A. is an individual health care provider with primary practice located at 4100 Medical Center Dr Suite 104, Fayetteville NY 13066-6635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Humphrey, Lynne A. can be contacted via phone (315) 663-0059.

Contact Information

Primary practice address
4100 Medical Center Dr Suite 104 Fayetteville NY 13066-6635
Phone: (315) 663-0059
Fax: (315) 663-0123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 199458 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 199458 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 199458. New York

Profile Details

NPI number 1487614988
LBN Legal business name Humphrey, Lynne A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 5th, 2023 - about 2 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 1487614988 NPPES
New York MEDICAID 01790110

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