MEDICARE: DR. ALICIA MASSOP-FLOWERS D.O.

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	237021	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

General Provider Information

NPI Number	:	1992826994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALICIA MASSOP-FLOWERS D.O.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/09/2025

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