Provider Demographics
NPI:1427885755
Name:FLYNN, STEPHANIE (SPECIAL EDUCATION)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-4135
Mailing Address - Country:US
Mailing Address - Phone:845-661-3130
Mailing Address - Fax:
Practice Address - Street 1:85 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-4642
Practice Address - Country:US
Practice Address - Phone:845-628-7500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist