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NPI Code Detail

MEDICARE: PAUL FLEMING

MEDICARE:   PAUL  FLEMING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker0891081NY

General Provider Information

NPI Number : 1699160929
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL FLEMING
Provider Business Mailing Address
First Line : 285 LIVINGSTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1006
Country : US
Telephone Number : 718-935-9201
Fax Number :
Provider Business Practice Location Address
First Line : 285 LIVINGSTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1006
Country : US
Telephone Number : 718-935-9201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2015
Last Update Date : 04/02/2015

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Directions to “ PAUL FLEMING ” Practice Location

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