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Individual

MARY ANNA LINCOLN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
35 DOCK ST, ANDRUS CHILDREN'S CENTER MENTAL HEALTH DIVISION, YONKERS, NY 10701-2733
(914) 966-1109
(914) 965-9705
Mailing address
1156 N BROADWAY, ANDRUS CHILDREN'S CENTER, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
153958
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00355940
NY
01
1285628552
JDAM NPI
NY
01
153958
NY MD LICENSE #
NY
Enumeration date
05/12/2006
Last updated
07/09/2007
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