Provider Demographics
NPI:1285740548
Name:FLASCHNER, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:FLASCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 DAVISON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5230
Mailing Address - Country:US
Mailing Address - Phone:716-433-3600
Mailing Address - Fax:716-433-3104
Practice Address - Street 1:770 DAVISON RD
Practice Address - Street 2:SUITE C
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5230
Practice Address - Country:US
Practice Address - Phone:716-433-3600
Practice Address - Fax:716-433-3104
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173730-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01439505Medicaid
14483BMedicare ID - Type Unspecified
NYE45018Medicare UPIN