Provider Demographics
NPI:1841884111
Name:FLYNN, ERIN MARGARET (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARGARET
Last Name:FLYNN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 N CENTRAL AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1840
Mailing Address - Country:US
Mailing Address - Phone:914-831-9575
Mailing Address - Fax:855-936-3254
Practice Address - Street 1:280 N CENTRAL AVE STE 115
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1840
Practice Address - Country:US
Practice Address - Phone:914-831-9575
Practice Address - Fax:855-936-3254
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01170500225100000X
NY019806-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist