Individual
MATTHEW JOHN LYNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
345 CHESTNUT STREET, NORTH SYRACUSE, NY 13212
(315) 458-2500
Mailing address
345 CHESTNUT STREET, NORTH SYRACUSE, NY 13212
(315) 458-2500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0041061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04106
WORKERS COMPENSATION
NY
Enumeration date
11/24/2006
Last updated
07/08/2007
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