MEDICARE: ALICIA MASSOP FLOWERS, D.O. P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	101YP1600X	Pastoral Counselor
4	1223P0221X	Pediatric Dentistry
5	133N00000X	Nutritionist
6	133VN1004X	Pediatric Nutrition Registered Dietitian
7	152W00000X	Optometrist
8	207Q00000X	Family Medicine Physician
9	207R00000X	Internal Medicine Physician
10	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
11	213E00000X	Podiatrist
12	235Z00000X	Speech-Language Pathologist
13	390200000X	Student in an Organized Health Care Education/Training Program
14	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1851776082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALICIA MASSOP FLOWERS, D.O. P.C.

Provider Business Mailing Address
First Line	:	13130 MERRICK BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-4134
Country	:	US
Telephone Number	:	718-233-2556
Fax Number	:	718-233-2569

Provider Business Practice Location Address
First Line	:	13130 MERRICK BLVD
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11434-4134
Country	:	US
Telephone Number	:	718-233-2556
Fax Number	:	718-233-2569

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. ALICIA N MASSOP-FLOWERS
Credential	:	D.O.
Telephone Number	:	718-233-2556

Provider Enumeration Date	:	07/29/2015
Last Update Date	:	07/29/2015

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