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General NPI Number Information
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NPI Number | 1174565204
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Entity Type | Individual
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Provider Name | COLLEEN B FLEMING-DAMON MSN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 45 READE PL VASSAR BROTHERS MEDICAL CENTER
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-3947
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Country | US
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Telephone | 845-454-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5506
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City | CULVER CITY
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State | CA
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Zip | 90231-5506
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Country | US
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Telephone | 845-744-3498
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | F303827-1
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License Number State | NY
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