Provider Demographics
NPI:1336202399
Name:LYNCH, ARTHUR A (DSW)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:A
Last Name:LYNCH
Suffix:
Gender:M
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E 84TH ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4405
Mailing Address - Country:US
Mailing Address - Phone:212-717-7864
Mailing Address - Fax:
Practice Address - Street 1:308 E 84TH ST
Practice Address - Street 2:APT. 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4405
Practice Address - Country:US
Practice Address - Phone:212-717-7864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR023925-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical