Lynch, Mary A.

Lynch, Mary A. is an sole proprietor health care provider with primary practice located at 900 Route 111 Suite 210, Hauppauge NY 11788. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lynch, Mary A. can be contacted via phone (631) 560-2482.

Contact Information

Primary practice address
900 Route 111 Suite 210 Hauppauge NY 11788
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 009154 New York

Profile Details

NPI number 1376640623
LBN Legal business name Lynch, Mary A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Aug 24th, 2009 - about 15 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 1376640623 NPPES
New York MEDICAID 01044251

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