Xavier Flanagan, Mary Ellen
Xavier Flanagan, Mary Ellen is an individual health care provider with primary practice located at 61 Delano St , Pulaski NY 13142-1400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Xavier Flanagan, Mary Ellen can be contacted via phone (315) 298-6564.Contact Information
Primary practice address
61 Delano St
Pulaski NY 13142-1400
Phone: (315) 298-6564
Fax: (315) 298-3968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F335962-1 | New York |
Profile Details
| NPI number | 1710115415 |
|---|---|
| LBN Legal business name | Xavier Flanagan, Mary Ellen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Mar 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710115415 | NPPES |
| New York | MEDICAID | 03433676 |
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