Basic Information
| Provider Information | |||||||||
| NPI: | 1376760843 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAPA | ||||||||
| FirstName: | LYNNIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 97 CLINTON PARK DR | ||||||||
| Address2: | |||||||||
| City: | BERGENFIELD | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076212452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013843212 | ||||||||
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| Practice Location | |||||||||
| Address1: | CHILDREN'S HOSPITAL OF COLUMBIA PRESBYTERIAN HOSPITAL | ||||||||
| Address2: | 3959 BROADWAY | ||||||||
| City: | NEW YORK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 10032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123058458 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0200X | F381034-1 | NY | Y | Nursing Service Providers | Registered Nurse | Pediatrics |
No ID Information.