Flourish Medical New York
General Practice in New York, NY. Organization (NPI-2).
NPI number1194635250
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1194635250
- Entity type
- Organization (NPI-2)
- Legal business name
- Flourish Medical New York
- Organization subpart
- No
- Enumeration date
- Sep 10, 2026
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
178 Columbus Ave Unit 237190New York, NY 10023-9672
Phone 575-495-1244
Mailing address
2751 Scenic DrAlamogordo, NM 88310-8730
Phone 575-495-1244
Authorized official
Saswatha Anireddy
Owner
5754951244
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