Flanigan, Johanna M.

Flanigan, Johanna M. is an individual health care provider with primary practice located at 146 Gettle Road , Averill Park NY 12018. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Flanigan, Johanna M. can be contacted via phone (518) 674-7020.

Contact Information

Primary practice address
146 Gettle Road Averill Park NY 12018
Phone: (518) 674-7020
Fax: (518) 674-7052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 217157 New York

Profile Details

NPI number 1124398474
LBN Legal business name Flanigan, Johanna M.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Jan 4th, 2012 - about 12 years ago

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 1124398474 NPPES
New York MEDICAID 01379024

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