Flanagan, Tina Rose

Flanagan, Tina Rose is an sole proprietor health care provider with primary practice located at 1777 Veterans Memorial Hwy Ste 14 , Islandia NY 11749-1555. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Flanagan, Tina Rose can be contacted via phone (631) 630-6439.

Contact Information

Primary practice address
1777 Veterans Memorial Hwy Ste 14 Islandia NY 11749-1555
Phone: (631) 630-6439
Fax: (631) 630-6440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005971 New York

Profile Details

NPI number 1962828640
LBN Legal business name Flanagan, Tina Rose
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2014
Last updated Mar 6th, 2020 - about 6 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 1962828640 NPPES
New York MEDICAID 001254125

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