Healthcare Provider Details

I. General information

NPI: 1205156437
Provider Name (Legal Business Name): AMY A LYNCH RN, CLE, CCCE, CLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 02/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E HILL RD
BINGHAMTON NY
13901-5210
US

IV. Provider business mailing address

680 E HILL RD
BINGHAMTON NY
13901-5210
US

V. Phone/Fax

Practice location:
  • Phone: 303-709-3574
  • Fax:
Mailing address:
  • Phone: 303-709-3574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number652358
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: