# HAROLD FLOCKHART ADULT HEALTH NP PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** balanced telemedicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982205894
- **Authorized official:** MR. HAROLD JAMES FLOCKHART NP (OWNER/PRACTITIONER)
- **Authorized official phone:** (631) 521-1683

## Contact information

- **Practice address:** 12 CAMPUS DR, EAST SETAUKET, NY 11733-1149
- **Practice address phone:** (631) 521-1683
- **Mailing address:** 12 CAMPUS DR, EAST SETAUKET, NY 11733-1149
- **Mailing address phone:** (631) 521-1683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 11/06/2020