Individual
MRS. CAROLYN MARY FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 SEQUAMS LANE, W. ISLIP, NY 11795
(631) 669-8377
Mailing address
31 SEQUAMS LANE, W. ISLIP, NY 11795
(631) 669-8377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22568176
NY
363LA2200X
Adult Health Nurse Practitioner
305943
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402764
NY
Other
Enumeration date
07/29/2010
Last updated
02/11/2026
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