Provider Demographics
NPI:1295996908
Name:LYNCH, JOSHUA JEREMIAH (DO, EMT-P)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JEREMIAH
Last Name:LYNCH
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Gender:M
Credentials:DO, EMT-P
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Mailing Address - Street 1:3085 SOUTHWESTERN BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1232
Mailing Address - Country:US
Mailing Address - Phone:716-677-2575
Mailing Address - Fax:716-677-2576
Practice Address - Street 1:3085 SOUTHWESTERN BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1232
Practice Address - Country:US
Practice Address - Phone:716-677-2575
Practice Address - Fax:716-677-2576
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2011-10-25
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Provider Licenses
StateLicense IDTaxonomies
NY253685207P00000X
PAOS015468207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine