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NPI Code Detail

MEDICARE: CATHERINE FLYNN

MEDICARE:   CATHERINE  FLYNN
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
1174400000XSpecialistNY

General Provider Information

NPI Number : 1003161449
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE FLYNN
Provider Business Mailing Address
First Line : 2066 E 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5910
Country : US
Telephone Number : 917-968-3586
Fax Number :
Provider Business Practice Location Address
First Line : 2066 E 63RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5910
Country : US
Telephone Number : 917-968-3586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 07/21/2022

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Directions to “ CATHERINE FLYNN ” Practice Location

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