Provider Demographics
NPI:1033702162
Name:FLOWERS, ISAIAS EMIR (MAT)
Entity Type:Individual
Prefix:MR
First Name:ISAIAS
Middle Name:EMIR
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BECKER TER
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-5281
Mailing Address - Country:US
Mailing Address - Phone:908-943-2826
Mailing Address - Fax:
Practice Address - Street 1:51 BECKER TER
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-5281
Practice Address - Country:US
Practice Address - Phone:908-943-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health