MEDICARE: ASHLEE I FLANAGAN

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	390200000X	Student in an Organized Health Care Education/Training Program		NY
2	163WC0200X	Critical Care Medicine Registered Nurse	701650	NY

General Provider Information

NPI Number	:	1215875489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE I FLANAGAN

Provider Business Mailing Address
First Line	:	10 STONERIDGE DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-1844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 STONERIDGE DR
Second Line	:
City	:	HAMBURG
State	:	NY
Zip	:	14075-1844
Country	:	US
Telephone Number	:	716-880-7369
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ ASHLEE I FLANAGAN ” Practice Location

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