Basic Information
| Provider Information | |||||||||
| NPI: | 1902837602 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHINITZ | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | R. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 N. MILLS ST. | ||||||||
| Address2: | |||||||||
| City: | NYACK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10960 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454461100 | ||||||||
| FaxNumber: | 8454464581 | ||||||||
| Practice Location | |||||||||
| Address1: | 244 WESTCHESTER AV. | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10604 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9149465390 | ||||||||
| FaxNumber: | 9146812906 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 03/31/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0205X | 177676 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Radiological Physics | 2085R0205X | 177579 | NY | N | Allopathic & Osteopathic Physicians | Radiology | Radiological Physics | 2085R0202X | 177579 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 01424657 | 05 | NY | MEDICAID | 1424657 | 05 | NY | MEDICAID |