Provider Demographics
NPI:1467349530
Name:LYNCH, JAMES CHARLES C
Entity type:Individual
Prefix:
First Name:JAMES CHARLES
Middle Name:C
Last Name:LYNCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 PLAINFIELD AVE # A
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3052
Mailing Address - Country:US
Mailing Address - Phone:347-639-5328
Mailing Address - Fax:
Practice Address - Street 1:321 PLAINFIELD AVE # A
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3052
Practice Address - Country:US
Practice Address - Phone:347-639-5328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst