Mary G Flanagan-Kundle in Riverhead - Medical

Mary G Flanagan-Kundle - NPI 1356301428

Mary G Flanagan-Kundle is a Medical in Riverhead, New York. Mary G Flanagan-Kundle practices all healthcare services and medical treatments related to Medical. The NPI Number for Mary G Flanagan-Kundle is 1356301428. The last update date is 2022-09-22.

Mary G Flanagan-Kundle's current location address is 1272 E Main St, Riverhead, New York. You can contact this provider via phone number 6312843793 and fax number 6315913900. The mailing address for Mary G Flanagan-Kundle is 1272 E Main St, Riverhead, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary G Flanagan-Kundle
Address 1272 E Main St, Riverhead, New York
Phone Number 6312843793
Fax Number 6315913900
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1356301428
Provider Enumeration Date 2006-03-24
Last Updated Date 2022-09-22

Provider Mailing Address Detail

Address 1272 E Main St
City Riverhead
State New York (NY)
Post Code 119012583
Phone Number 6312843793
Fax Number 6315913900

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1163
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1163 NY LICENSE

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FAQs about Mary G Flanagan-Kundle

What is the unique identifier code issued to Mary G Flanagan-Kundle by the Centers for Medicare & Medicaid Services (CMS)?

The Mary G Flanagan-Kundle has been assigned the NPI (National Provider Identifier) 1356301428. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Mary G Flanagan-Kundle?

The Mary G Flanagan-Kundle is situated at 1272 E Main St, in the city of Riverhead, state of NY, with the zip code 119012583.

What is the area of specialization for Mary G Flanagan-Kundle, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary G Flanagan-Kundle is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did Mary G Flanagan-Kundle receive its 1356301428 assignment from the Centers for Medicare & Medicaid Services?

The Mary G Flanagan-Kundle was assigned its 1356301428 on 2006-03-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Mary G Flanagan-Kundle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary G Flanagan-Kundle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-22.

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