Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 186831 | NY |
NPI | 1023102142 |
---|---|
Provider Name | Dr. Scott Jay Flashner |
First Address | Amityville, NY 11701-3439 |
Second Address | Amityville, NY 11701-3439 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 13/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G17349 | (02) | NY |