Provider Demographics
NPI:1922138825
Name:STEVEN FLASCHNER M.D.
Entity Type:Organization
Organization Name:STEVEN FLASCHNER M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLASCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-433-3600
Mailing Address - Street 1:770 DAVISON RD
Mailing Address - Street 2:STE C
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5230
Mailing Address - Country:US
Mailing Address - Phone:716-433-3600
Mailing Address - Fax:716-433-3104
Practice Address - Street 1:770 DAVISON RD
Practice Address - Street 2:STE C
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5230
Practice Address - Country:US
Practice Address - Phone:716-433-3600
Practice Address - Fax:716-433-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173730-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14483AMedicare ID - Type UnspecifiedSTEVEN FLASCHNER M.D.