Individual
DR. BRENAINN MAIRTIN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
12 BURR AVE, NORTHPORT, NY 11768-1927
(631) 708-4066
Mailing address
12 BURR AVE, NORTHPORT, NY 11768-1927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
262618
NY
Other
Enumeration date
07/15/2011
Last updated
08/15/2011
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