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Individual

PHILLIP MICHAEL JOHN FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NYCPS-P-3522

Contact information

Practice address
500 PULTENEY STREET, APT. 22, GENEVA, NY 14456-3143
(315) 878-3877
Mailing address
500 PULTENEY ST APT 22, GENEVA, NY 14456-3143
(315) 878-3788

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
CRPA-3588
NY
175T00000X
Peer Specialist
Primary
NYCPS-P-3522
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CRPA-3588
CERTIFIED RECOVERY PEER ADVOCATE
NY
01
NYCPS-P-3522
CERTIFIED PEER SPECIALIST
NY
Enumeration date
09/14/2023
Last updated
10/24/2024
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