Basic Information
Provider Information
NPI: 1053745232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLOWER
FirstName: ALLYSON
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1085 BOSTON POST RD
Address2: APARTMENT 3
City: RYE
State: NY
PostalCode: 105802949
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 19 SKYLINE DR
Address2: 1N-J08
City: HAWTHORNE
State: NY
PostalCode: 105322134
CountryCode: US
TelephoneNumber: 9144937997
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2013
LastUpdateDate: 07/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0207X271651NYY Allopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology

No ID Information.


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