MEDICARE: LYNN AGENCY, INC.

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	251E00000X	Home Health Agency	9394L001	NY

General Provider Information

NPI Number	:	1285858175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNN AGENCY, INC.

Provider Business Mailing Address
First Line	:	8002 KEW GARDENS RD
Second Line	:	SUITE 1050
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3600
Country	:	US
Telephone Number	:	718-261-6400
Fax Number	:	718-261-2001

Provider Business Practice Location Address
First Line	:	8002 KEW GARDENS RD
Second Line	:	SUITE 1050
City	:	KEW GARDENS
State	:	NY
Zip	:	11415-3600
Country	:	US
Telephone Number	:	718-261-6400
Fax Number	:	718-261-2001

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. MARCIA TRUPIN
Credential	:
Telephone Number	:	718-261-6400

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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