Individual
MR. THOMAS WILLIAM FLYNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
645 STEWART AVE, GARDEN CITY, NY 11530-4769
(609) 970-4654
Mailing address
4161 LUDWIG LN, BETHPAGE, NY 11714-6222
(609) 970-4654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003833
NY
2255A2300X
Athletic Trainer
25MT00223700
NJ
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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