Provider Demographics
NPI:1508180886
Name:FLYNN, REBECCA A (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:A
Last Name:FLYNN
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:108 THISTLEDOWN DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3021
Mailing Address - Country:US
Mailing Address - Phone:585-370-0750
Mailing Address - Fax:585-922-2908
Practice Address - Street 1:1425 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-3001
Practice Address - Country:US
Practice Address - Phone:585-922-5067
Practice Address - Fax:585-922-2908
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY013934363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical