Provider Demographics
NPI:1356851810
Name:FLYNN, CYNTHIA B (FNP, RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:B
Last Name:FLYNN
Suffix:
Gender:F
Credentials:FNP, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5263
Mailing Address - Country:US
Mailing Address - Phone:845-416-4325
Mailing Address - Fax:845-838-3796
Practice Address - Street 1:147 LAKE ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5263
Practice Address - Country:US
Practice Address - Phone:845-416-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT075422163WL0100X
NY127132163WL0100X
NY549491163WL0100X
NYF35136701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant