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Contact Information

JOHANNA M FLANIGAN, RN
146 GETTLE ROAD
AVERILL PARK, NY12018
 Phone: 518-674-7020
 Fax: 518-674-7052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JOHANNA M FLANIGAN · (Female)

NPI # 1124398474
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 01/04/2012
Last updated 01/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 217157
  • NY Medicaid 01379024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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