Provider Demographics
NPI:1447241252
Name:FLAMER, HAROLD E (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:E
Last Name:FLAMER
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 1:13627 71ST RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1942
Mailing Address - Country:US
Mailing Address - Phone:718-268-3979
Mailing Address - Fax:718-268-3979
Practice Address - Street 1:13627 71ST RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1942
Practice Address - Country:US
Practice Address - Phone:718-268-3979
Practice Address - Fax:718-268-3979
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-01
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211806207RG0300X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01883398Medicaid
NYB69455Medicare UPIN
NY44C081Medicare ID - Type Unspecified