Individual
CHARMAGNE M FLANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6005 BIG TREE ROAD, LAKEVILLE, NY 14480-9720
(585) 346-9150
(585) 346-4528
Mailing address
6005 BIG TREE ROAD, LAKEVILLE, NY 14480-9720
(585) 346-9150
(585) 346-4528
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
63931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12279A
MEDICARE PTAN
NY
Enumeration date
03/30/2006
Last updated
05/09/2008
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