MEDICARE: DR. JOAN MARIE FLANIGAN 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
1	208000000X	Pediatrics Physician	101735	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	57898-1	OTHER		BC/BS

General Provider Information

NPI Number	:	1851407175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN MARIE FLANIGAN M.D.

Provider Business Mailing Address
First Line	:	256 WEST 10TH STREET
Second Line	:	APT 4C
City	:	NEW YORK
State	:	NY
Zip	:	10014-6522
Country	:	US
Telephone Number	:	212-691-3819
Fax Number	:

Provider Business Practice Location Address
First Line	:	256 WEST 10TH STREET
Second Line	:	APT 4C
City	:	NEW YORK
State	:	NY
Zip	:	10014-6522
Country	:	US
Telephone Number	:	212-691-3819
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	03/07/2023

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