Provider Demographics
NPI:1619214095
Name:HYNES, ANNE (IBCLC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:HYNES
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 NASSAU AVE
Mailing Address - Street 2:# 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-3293
Mailing Address - Country:US
Mailing Address - Phone:646-331-7643
Mailing Address - Fax:
Practice Address - Street 1:114 NASSAU AVE
Practice Address - Street 2:# 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-3293
Practice Address - Country:US
Practice Address - Phone:646-331-7643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN