Provider Demographics
NPI:1174603336
Name:FLOWERS, NEVILLE A (PT)
Entity type:Individual
Prefix:MR
First Name:NEVILLE
Middle Name:A
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21910 SOUTH CONDUIT AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413
Mailing Address - Country:US
Mailing Address - Phone:718-525-8109
Mailing Address - Fax:718-527-3028
Practice Address - Street 1:21910 S CONDUIT AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-3462
Practice Address - Country:US
Practice Address - Phone:718-525-8109
Practice Address - Fax:718-527-3028
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002813225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist