MEDICARE: MS. LYNNE A MCVEY LP

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	102L00000X	Psychoanalyst	000924-1	NY

General Provider Information

NPI Number	:	1285192823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNNE A MCVEY LP

Provider Business Mailing Address
First Line	:	3612 E TREMONT AVE # LL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2039
Country	:	US
Telephone Number	:	718-792-4178
Fax Number	:	718-792-2496

Provider Business Practice Location Address
First Line	:	3612 E TREMONT AVE # LL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-2039
Country	:	US
Telephone Number	:	718-792-4178
Fax Number	:	718-792-2496

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

Provider Enumeration Date	:	03/02/2019
Last Update Date	:	03/02/2019

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