Individual
MARY G FLANAGAN-KUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 STATE ROUTE 31 STE 111, FLEMINGTON, NJ 08822-4953
(908) 782-4316
Mailing address
329 E MAIN ST STE 3, SMITHTOWN, NY 11787-2821
(631) 265-1855
(631) 724-2579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001163
NY
363A00000X
Physician Assistant
Primary
25MP00856000
NJ
363AM0700X
Medical Physician Assistant
001163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001163
LICENSE
NY
Enumeration date
03/24/2006
Last updated
06/24/2026
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