| Doctor Name: | MR. MICHAEL EUGENE FLAHERTY |
| NPI Number: | 1003835414 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 005504 |
| Business Practice Address: | 1001 West St Carthage, NY - 136199703 |
| Business Phone Number: | 3154931000 |
| Business Fax Number: | |
| Mailing Address: | 22344 Riverbend Dr E, WATERTOWN |
| State: | NY |
| Postal Code: | 136011724 |
| Phone Number: | 3157789517 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 05/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 005504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |