| Rowan Health Corporation | |
|
12 Burr Ave Northport NY 11768-1927 | |
| (631) 708-4066 | |
| Not Available |
| Full Name | Rowan Health Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Burr Ave, Northport, New York |
| Authorized Official Name and Position | Brenainn Flanagan (PRESIDENT) |
| Authorized Official Contact | 6317084066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowan Health Corporation 12 Burr Ave Northport NY 11768-1927 Ph: (631) 708-4066 | Rowan Health Corporation 12 Burr Ave Northport NY 11768-1927 Ph: (631) 708-4066 |
| NPI Number | 1972106003 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Medicare PECOS PAC ID | 2961817515 |
|---|---|
| Medicare Enrollment ID | O20210212001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972106003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Brenainn M Flanagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609164334 PECOS PAC ID: 9638337090 Enrollment ID: I20120215000358 |
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