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NPI Code Detail

MEDICARE: DR. WILLIAM J. FLYNN M.D.

MEDICARE: DR. WILLIAM J. FLYNN M.D.
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
1208600000XSurgery Physician161806NY
22086S0127XTrauma Surgery Physician161806NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578586293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM J. FLYNN M.D.
Provider Business Mailing Address
First Line : PO BOX 8000 DEPT 313
Second Line : UNIVERSITY AT BUFFALO SURGEONS, INC
City : BUFFALO
State : NY
Zip : 14267-0002
Country : US
Telephone Number : 716-888-4889
Fax Number : 716-849-5620
Provider Business Practice Location Address
First Line : 462 GRIDER ST
Second Line : DEPT OF SURGERY
City : BUFFALO
State : NY
Zip : 14215-3021
Country : US
Telephone Number : 716-898-5186
Fax Number : 716-898-3194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 03/26/2014

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