National Provider Identifier
Phillip Michael John Fleming, NYCPS-P-3522
Phillip Michael John Fleming, NYCPS-P-3522 is listed in the NPPES registry with a primary specialty of Peer Specialist in Geneva, NY and a listed phone number of (315) 878-3877.
Profile Overview
- NPI
- 1285411991
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- September 14, 2023
- Last Updated
- October 24, 2024
Practice Location
- 500 Pulteney Street
- Apt. 22
- Geneva, NY 14456-3143
Phone: (315) 878-3877
Mailing Address
- 500 Pulteney St Apt 22
- Geneva, NY 14456-3143
Specialties
- Peer Specialist (175T00000X)
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1285411991
- Entity Type
- Individual
- Last Name
- Fleming
- First Name
- Phillip
- Middle Name
- Michael John
- Credential
- NYCPS-P-3522
- Provider Other Last Name
- Fleming
- Provider Other First Name
- Phillip
- Provider Other Middle Name
- Michael John
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- HON.D.DIV.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 500 Pulteney St Apt 22
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-3143
- Mailing Country
- US
- Mailing Phone
- (315) 878-3788
- Practice Street Address
- 500 Pulteney Street
- Practice Address Line 2
- Apt. 22
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-3143
- Practice Country
- US
- Practice Phone
- (315) 878-3877
- Enumeration Date
- September 14, 2023
- Last Updated
- October 24, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Peer Specialist (175T00000X)
- Other Identifiers
- CRPA-3588 (NY, Certified Recovery Peer Advocate), NYCPS-P-3522 (NY, Certified Peer Specialist)