Michael Lynch, M.D.
Individual provider Active NPI Family Medicine Physician · Granville, NY
NPI 1558697607 · NPPES record last updated Oct 26, 2009
Key facts
- NPI
- 1558697607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 079066 (NY)
- Practice address
- 19 Quaker St
Granville, NY 12832-1523 - Phone
- (518) 642-2872
- NPI assigned
- Oct 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079066 | NY | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 079066 | NY | Yes |
Addresses
Primary practice location
19 Quaker St
Granville, NY 12832-1523
Mailing address
19 Quaker St
Granville, NY 12832-1523
Phone (518) 642-2872
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079066 | Other | NY | NYS LISC |
Other providers in Granville, NY
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- Jennifer Ruth Kelley
- Melinda Renee Lewis
- Emily M Loomis
- Susan E Loomis
- Caitlin McCusker
- Mettowee Valley Speech Therapy Services, PLLC
- Sadaf Shahid Mirza
- Deidra Ann Mitchell
- Brooke Lynn Morgan
All providers in Granville, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.