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NPI Code Detail

MEDICARE: ANDREA LYMAN M.D

MEDICARE: ANDREA LYMAN M.D
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
1207Q00000XFamily Medicine Physician144296NY

General Provider Information

NPI Number : 1639196595
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LYMAN M.D
Provider Business Mailing Address
First Line : 279 E 3RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10009-7813
Country : US
Telephone Number : 212-477-8500
Fax Number : 212-473-4970
Provider Business Practice Location Address
First Line : 279 E 3RD ST
Second Line :
City : NEW YORK
State : NY
Zip : 10009-7813
Country : US
Telephone Number : 212-477-8500
Fax Number : 212-473-4970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 07/08/2007

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