Individual
DR. MICHAEL WILLIAM LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
Mailing address
412 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0420011039
VT
208000000X
Pediatrics Physician
Primary
242590
NY
208000000X
Pediatrics Physician
5791
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02859841
—
NY
05
—
MD04731
—
AK
Enumeration date
11/01/2006
Last updated
03/09/2012
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