MEDICARE: DR. EMELY A. FLORES D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	013747	NY

General Provider Information

NPI Number	:	1790468122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMELY A. FLORES D.C.

Provider Business Mailing Address
First Line	:	853 OLD MEDFORD AVE
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763-3521
Country	:	US
Telephone Number	:	516-983-0750
Fax Number	:

Provider Business Practice Location Address
First Line	:	258 E SUFFOLK AVE
Second Line	:
City	:	CENTRAL ISLIP
State	:	NY
Zip	:	11722-2634
Country	:	US
Telephone Number	:	631-348-6780
Fax Number	:	631-348-6780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2023
Last Update Date	:	08/11/2023

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