Flynn Richards, Eileen Bridget

Flynn Richards, Eileen Bridget is an individual health care provider with primary practice located at 2539 Middle Country Rd Suite 4, Centereach NY 11720-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Flynn Richards, Eileen Bridget can be contacted via phone (631) 737-6434.

Contact Information

Primary practice address
2539 Middle Country Rd Suite 4 Centereach NY 11720-3551
Fax: (631) 738-1226
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F3011071 New York

Profile Details

NPI number 1780671446
LBN Legal business name Flynn Richards, Eileen Bridget
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Apr 1st, 2008 - about 18 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 1780671446 NPPES
New York MEDICAID 01908901

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