Individual
JAIME ELLEN FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
77 VETERANS MEMORIAL HWY, SUITE 5, COMMACK, NY 11725-3410
(631) 499-4344
(631) 499-4383
Mailing address
12 BURR AVE, NORTHPORT, NY 11768-1927
(631) 834-9533
(631) 499-4383
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
025203
NY
Other
Enumeration date
02/02/2007
Last updated
07/29/2013
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