Individual
JENNIFER P. FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3357836
AETNA
NY
01
—
3C5583
HEALTHNET
NY
01
—
C306D2
BCBS
NY
01
—
P3039404
OXFORD
NY
Enumeration date
01/20/2006
Last updated
10/27/2008
Update your record
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