Healthcare Provider Details

I. General information

NPI: 1316859796
Provider Name (Legal Business Name): FLYTEHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E 38TH ST
NEW YORK NY
10016-2607
US

IV. Provider business mailing address

50 BOW BOG RD
BOW NH
03304-4303
US

V. Phone/Fax

Practice location:
  • Phone: 833-955-3592
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURIE MONTAGUE
Title or Position: PHYSICIAN
Credential: MD
Phone: 603-309-6385