Harold Flockhart Adult Health NP PC
Nurse Practitioner, Adult Health in East Setauket, NY. Organization (NPI-2).
NPI number1982205894
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1982205894
- Entity type
- Organization (NPI-2)
- Legal business name
- Harold Flockhart Adult Health NP PC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2020
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Other names
- Balanced Telemedicine (Doing Business As)
Practice location
12 Campus DrEast Setauket, NY 11733-1149
Phone 631-521-1683
Mailing address
12 Campus DrEast Setauket, NY 11733-1149
Phone 631-521-1683
Authorized official
Harold James Flockhart
Owner/Practitioner
6315211683
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