Healthcare Provider Details

I. General information

NPI: 1710447024
Provider Name (Legal Business Name): ERIN ELIZABETH FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 TEMPLE ST
NEW HAVEN CT
06510-2715
US

IV. Provider business mailing address

40 TEMPLE ST
NEW HAVEN CT
06510-2715
US

V. Phone/Fax

Practice location:
  • Phone: 207-266-9598
  • Fax:
Mailing address:
  • Phone: 207-266-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number323297
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD28296
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number80979
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: