Individual
C LYNN VAN ANTWERPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 453-2273
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
165112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00165112
—
NY
01
—
10002994
CDPHP
—
01
—
13833
MVP
—
Enumeration date
05/27/2006
Last updated
03/11/2008
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