Provider Demographics
NPI:1407953292
Name:LYNCH-NARVAEZ, DEBRA (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:
Last Name:LYNCH-NARVAEZ
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-0035
Mailing Address - Country:US
Mailing Address - Phone:914-556-6777
Mailing Address - Fax:914-556-6776
Practice Address - Street 1:1 LOVELL ST STE B
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589
Practice Address - Country:US
Practice Address - Phone:914-556-6777
Practice Address - Fax:914-556-6776
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008585225XH1200X
NY0008585225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQS854QT231Medicare PIN