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NPI Code Detail

MEDICARE: NICOLE MARIE LYNCH PMHNP

MEDICARE: NICOLE MARIE LYNCH PMHNP
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
1163W00000XRegistered Nurse773689NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner408073NY

General Provider Information

NPI Number : 1861280521
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE LYNCH PMHNP
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-704-3262
Fax Number :
Provider Business Practice Location Address
First Line : 55 W AMES CT STE 100
Second Line :
City : PLAINVIEW
State : NY
Zip : 11803-2304
Country : US
Telephone Number : 516-704-3262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2025
Last Update Date : 06/01/2026

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