Lynne Mcilvain in Syracuse - Medical

Lynne Mcilvain - NPI 1265403844

Lynne Mcilvain is a Medical in Syracuse, New York. Lynne Mcilvain practices all healthcare services and medical treatments related to Medical. The NPI Number for Lynne Mcilvain is 1265403844. The last update date is 2020-12-10.

Lynne Mcilvain's current location address is 5794 Widewaters Pkwy, Syracuse, New York. You can contact this provider via phone number 3154221513 and fax number 3154225890. The mailing address for Lynne Mcilvain is 5794 Widewaters Pkwy, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynne Mcilvain
Address 5794 Widewaters Pkwy, Syracuse, New York
Phone Number 3154221513
Fax Number 3154225890
Sole Proprietor N
Credentials RPAC

NPI Number Detail

NPI Number 1265403844
Provider Enumeration Date 2006-01-31
Last Updated Date 2020-12-10

Provider Mailing Address Detail

Address 5794 Widewaters Pkwy
City Syracuse
State New York (NY)
Post Code 132141845
Phone Number 3154221513
Fax Number 3154225890

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1720
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1286680 NY --

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FAQs about Lynne Mcilvain

What is the unique 10-digit identification code issued to Lynne Mcilvain by the Centers for Medicare & Medicaid Services?

The Lynne Mcilvain has been assigned the NPI (National Provider Identifier) 1265403844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Lynne Mcilvain's facilities are geographically located?

The facilities of Lynne Mcilvain are physically situated at the following location: 5794 Widewaters Pkwy, Syracuse, NY, 132141845.

What is the area of specialization for Lynne Mcilvain, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lynne Mcilvain is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did the Lynne Mcilvain receive its 1265403844 assignment from the Centers for Medicare & Medicaid Services?

The Lynne Mcilvain was assigned its 1265403844 by the Centers for Medicare & Medicaid Services on 2006-01-31.

When was the information regarding Lynne Mcilvain, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lynne Mcilvain, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-10.

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