Flanagan-Kundle, Mary G

Flanagan-Kundle, Mary G is an individual health care provider with primary practice located at 329 E Main St Ste 3 , Smithtown NY 11787-2821. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Flanagan-Kundle, Mary G can be contacted via phone (631) 265-1855.

Contact Information

Primary practice address
329 E Main St Ste 3 Smithtown NY 11787-2821
Phone: (631) 265-1855
Fax: (631) 724-2579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001163 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001163 New York

Profile Details

NPI number 1356301428
LBN Legal business name Flanagan-Kundle, Mary G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356301428 NPPES
New York Other 001163 LICENSE

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