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Contact Information

BRIAN P LYNN, DPM
935 NORTHERN BLVD
SUITE 107
GREAT NECK, NY11021-5309
 Phone: 516-627-5775
 Fax: 516-627-6259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN P LYNN · (Male)

NPI Number 1568573319
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/31/2006
Last updated 02/12/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N005264-1
  • NY Other 0914058 AETNA HMO
  • NY Other 005707438 AETNA PPO
  • NY Other 10000253206 AFFINITY
  • NY Other 030002342NJ01 ANTHEM
  • NY Other 21215922460 BEECH ST
  • NY Other 2428938-007 CIGNA
  • NY Other 171714 ELDER PLAN
  • NY Other PG6691 EMPIRE BCBS
  • NY Other 1175537 FIRST HEALTH
  • NY Other 1499715 GHI
  • NY Other N0052641-A14 HEALTH FIRST
  • NY Other 4C1454 HEALTH NET
  • NY Other 108081P HIP
  • NY Other AA71987 MDNY
  • NY Other P2577825 OXFORD
  • NY Other 480033366 RAILROAD MEDICARE
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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