Provider Demographics
NPI:1639856115
Name:LYMAN, FRANKIE (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:LYMAN
Suffix:
Gender:M
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 PALMER RD APT 3A
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3312
Mailing Address - Country:US
Mailing Address - Phone:646-309-9459
Mailing Address - Fax:
Practice Address - Street 1:1980 COMPOUND RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT
Practice Address - State:NY
Practice Address - Zip Code:10567
Practice Address - Country:US
Practice Address - Phone:646-309-9459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY432550364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine