Provider Demographics
NPI:1568177012
Name:FLUSHING PEDIATRICS PC
Entity Type:Organization
Organization Name:FLUSHING PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-250-4360
Mailing Address - Street 1:105 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-2018
Mailing Address - Country:US
Mailing Address - Phone:810-250-4360
Mailing Address - Fax:810-963-0133
Practice Address - Street 1:105 S CHERRY ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-2018
Practice Address - Country:US
Practice Address - Phone:810-250-4360
Practice Address - Fax:810-963-0133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty