Individual
DR. KEVIN G FLANAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AV D
Contact information
Practice address
849 RT 5 & 20, IRVING, NY 14081
(716) 934-2025
(716) 674-1836
Mailing address
849 RT 5 & 20, IRVING, NY 14081
(716) 934-2025
(716) 674-1836
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
0014Z1
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011388701
UNIVERA
NY
01
—
00011388702
UNIVERA
—
01
—
000576070004
COMMUNITY BLUE BCBS
NY
01
—
000576070005
COMMUNITY BLUE BCBS
—
05
—
01899247
—
NJ
01
—
02100250
MEDICAID
—
01
—
040426002404
FIDELIS
NY
01
—
9210249
INDEPENDENT HEALTH
—
Enumeration date
06/09/2006
Last updated
09/11/2025
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