Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Flatley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164008058

Kevin Flatley is an Obstetrics/Gynecology in Bronx, New York. Graduated from Albany Medical College of Union University in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
5
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (516) 359-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1164008058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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