ELLEN LYNCH


Address: 3251 Route 112 Ste 2, Medford, NY 11763-1446
Phone: 6314516007

ELLEN LYNCH (NPI# 1790109049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790109049
Entity Type Individual
Full Name ELLEN LYNCH
Practice Address 3251 Route 112 Ste 2
Medford
NY 11763-1446
Practice Telephone 6314516007
Practice Fax Number 6312978121
Enumeration Date 2014-02-06
Last Update Date 2014-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
23512 NY Behavioral Health & Social Service Providers

Other Providers ELLEN LYNCH

NPI Name Taxonomy Address Enumeration
1568607745 Ellen Lynch Pharmacist 5400 Lancaster Dr, Brooklyn Heights, OH 44131-1832 2008-12-02
1962549121 Ellen Lynch Speech-Language Pathologist 150 Long Rd, Suite 150, Chesterfield, MO 63005-1235 2007-01-30
1982695805 Ellen Mary Lynch Pediatrics 73d Winthrop Ave, Plaza 114, Lawrence, MA 01843-3716 2005-10-31

Office Location

Street Address 3251 ROUTE 112 STE 2
City MEDFORD
State NY
Zip Code 11763-1446

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1255875654 Danielle E Peterson Counselor 429 W Broadway Ave, Medford, WI 54451-1608 2016-12-05
1376099523 Patricia Mcatee Counselor 243 N Holly St, Apt 1, Medford, OR 97501-5603 2016-08-28
1437512449 Sage Bosch Counselor 1003 E Main St # 104, Medford, OR 97504-7448 2016-03-29
1114385853 April Collins-macauley Counselor 234 W 5th St, Medford, OR 97501-2611 2016-02-09
1154714418 Marykay Powell Counselor 4175 Cedar Ln, Medford, OR 97501-9611 2015-03-11
1699163931 Violeta Iguchi Counselor 3501 Excel Dr Ste 225, Medford, OR 97504-8067 2015-01-08
1922429174 Roderick Evans Counselor 107 E Main St Ste 11, Medford, OR 97501-6022 2013-12-13
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Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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