Provider Demographics
NPI:1578685079
Name:MONTZ, LYNN BARBARA (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:BARBARA
Last Name:MONTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7659
Mailing Address - Country:US
Mailing Address - Phone:212-874-7312
Mailing Address - Fax:
Practice Address - Street 1:333 CENTRAL PARK W
Practice Address - Street 2:#104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7145
Practice Address - Country:US
Practice Address - Phone:212-663-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2015432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY489BA1Medicare ID - Type Unspecified
NYI25985Medicare UPIN