Healthcare Provider Details

I. General information

NPI: 1922808369
Provider Name (Legal Business Name): SYDNEY ANN MARIE LYNCOOK OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9620 METROPOLITAN AVE
FOREST HILLS NY
11375-6625
US

IV. Provider business mailing address

11712 OCEAN PROMENADE APT 3A
ROCKAWAY PARK NY
11694-2003
US

V. Phone/Fax

Practice location:
  • Phone: 718-793-2020
  • Fax: 718-793-2022
Mailing address:
  • Phone: 929-239-9885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011328
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: