Provider Demographics
NPI:1720169949
Name:ZOILA R. FLASHNER, MD PC
Entity Type:Organization
Organization Name:ZOILA R. FLASHNER, MD PC
Other - Org Name:ZOILA R. FLASHNER, MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOILA
Authorized Official - Middle Name:ROCIO
Authorized Official - Last Name:FLASHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-789-2556
Mailing Address - Street 1:365 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2716
Mailing Address - Country:US
Mailing Address - Phone:631-789-2556
Mailing Address - Fax:631-789-2554
Practice Address - Street 1:365 BROADWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2716
Practice Address - Country:US
Practice Address - Phone:631-789-2556
Practice Address - Fax:631-789-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2037231207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG79089Medicare UPIN
NY08U481Medicare PIN