Lynn, Phyllis

Lynn, Phyllis is an individual health care provider with primary practice located at 6208 4Th Ave , Brooklyn NY 11220-4616. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Lynn, Phyllis can be contacted via phone (718) 283-8867.

Contact Information

Primary practice address
6208 4Th Ave Brooklyn NY 11220-4616
Fax: (718) 283-8468
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000129-1 New York

Profile Details

NPI number 1497751028
LBN Legal business name Lynn, Phyllis
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 26th, 2013 - about 11 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 1497751028 NPPES
New York MEDICAID 07793568

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