Flaks, Ethan G

Flaks, Ethan G is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1D, Liverpool NY 13088-3807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Flaks, Ethan G can be contacted via phone (315) 452-2829.

Contact Information

Primary practice address
5100 W Taft Rd Suite 1D Liverpool NY 13088-3807
Phone: (315) 452-2829
Fax: (315) 452-2870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 146994 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 146994 New York

Profile Details

NPI number 1578522926
LBN Legal business name Flaks, Ethan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Nov 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578522926 NPPES
New York MEDICAID 00730621

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