Provider Demographics
NPI:1093803785
Name:LYNN, HOWARD S (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:S
Last Name:LYNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:373 ROUTE 111
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4759
Mailing Address - Country:US
Mailing Address - Phone:631-360-7450
Mailing Address - Fax:631-360-7455
Practice Address - Street 1:373 ROUTE 111
Practice Address - Street 2:SUITE 7
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-4759
Practice Address - Country:US
Practice Address - Phone:631-360-7450
Practice Address - Fax:631-360-7455
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2011-04-19
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Provider Licenses
StateLicense IDTaxonomies
NY170337208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW85591Medicare ID - Type Unspecified
NY54F621Medicare ID - Type Unspecified
E48882Medicare UPIN