Individual
MR. HAROLD FLOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
12 CAMPUS DR, EAST SETAUKET, NY 11733-1149
(631) 689-0646
Mailing address
12 CAMPUS DR, EAST SETAUKET, NY 11733-1149
(631) 689-0646
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303563-1
NY
Other
Enumeration date
07/19/2006
Last updated
11/06/2020
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