MEDICARE: DR. KATHLEEN LYNCH MCLAUGHLIN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X3363	NY
2	111N00000X	Chiropractor	2458	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0061732	OTHER		GHI PROVIDER

General Provider Information

NPI Number	:	1063575975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN LYNCH MCLAUGHLIN DC

Provider Business Mailing Address
First Line	:	13 PRIDES CROSSING
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-6235
Country	:	US
Telephone Number	:	845-639-9040
Fax Number	:	845-639-9040

Provider Business Practice Location Address
First Line	:	8301 RIDGE BLVD
Second Line	:	SUITE L4
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4343
Country	:	US
Telephone Number	:	718-748-8044
Fax Number	:	718-921-3629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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