Provider Demographics
NPI:1366762460
Name:LYNCH, CHRISTYANN (NP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTYANN
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1299 PORTLAND AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2730
Mailing Address - Country:US
Mailing Address - Phone:585-922-5520
Mailing Address - Fax:585-922-5526
Practice Address - Street 1:1299 PORTLAND AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2730
Practice Address - Country:US
Practice Address - Phone:585-922-5520
Practice Address - Fax:585-922-5526
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF430514-1363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care