Individual
TRAVIS FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 CORLISS AVE, JOHNSON CITY, NY 13790-2060
(607) 763-6735
Mailing address
1112 MURRAY HILL RD, VESTAL, NY 13850-3836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
605873-1
NY
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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