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MR. MICHAEL FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
Mailing address
1 EDGEWATER ST, SUITE 723, STATEN ISLAND, NY 10305-4900
(718) 226-4324
(718) 226-1039

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003708
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01977453
NY
Enumeration date
12/15/2005
Last updated
02/17/2011
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