Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 291862-1 | NY |
N | 2081S0010X | Sports Medicine | 291862-1 | NY |
N | 213ES0000X | Sports Medicine | 291862-1 | NY |
NPI | 1225416241 |
---|---|
Provider Name | Dr. Michael Evin Flamm |
First Address | Brooklyn, NY 11217-1732 |
Second Address | New York, NY 10010-5011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2015 |
Last Update Date | 30/09/2020 |