Individual
MOLLY MULLETT-FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2495 MAIN ST, BUFFALO, NY 14214-2152
(716) 862-0367
(716) 862-0368
Mailing address
525 WASHINGTON ST, MANAGED CARE DEPARTMENT, BUFFALO, NY 14203-1711
(716) 856-4494
(716) 842-1277
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354002
COMMUNITY BLUE
NY
Enumeration date
06/06/2006
Last updated
07/08/2007
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