Provider Demographics
NPI:1962577551
Name:FLYNN, KATHRYN (MSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E 79TH ST
Mailing Address - Street 2:APT.14B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0436
Mailing Address - Country:US
Mailing Address - Phone:646-942-7575
Mailing Address - Fax:
Practice Address - Street 1:10 EAST 21ST STREET
Practice Address - Street 2:THE FIFTH AVENUE CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:646-205-8224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical