Provider Demographics
NPI:1427264472
Name:FLYNN, ERIN M (RPA-C)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:M
Last Name:FLYNN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 DOROTHY GATE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3521
Mailing Address - Country:US
Mailing Address - Phone:516-795-5544
Mailing Address - Fax:516-797-1826
Practice Address - Street 1:4 DOROTHY GATE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3521
Practice Address - Country:US
Practice Address - Phone:516-795-5544
Practice Address - Fax:516-797-1826
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY009946363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical