Individual
KRISTEN FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E 1ST ST, FREEPORT, NY 11520-5735
(516) 633-4110
Mailing address
102 EAST FIRST ST, FREEPORT, NY 11520
(516) 633-4110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
604008-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2014
Last updated
09/14/2022
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