Provider Demographics
NPI:1790919447
Name:ABBATE, LYNN M (RPH)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:M
Last Name:ABBATE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3411
Mailing Address - Country:US
Mailing Address - Phone:518-474-7720
Mailing Address - Fax:
Practice Address - Street 1:44 HOLLAND AVENU
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12229
Practice Address - Country:US
Practice Address - Phone:518-474-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist