Individual
COLBY FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-7700
(718) 780-6701
Mailing address
300 W 49TH ST, APT 410, NEW YORK, NY 10019-7391
(405) 412-7552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
013693
NY
363AS0400X
Surgical Physician Assistant
Primary
013693
NY
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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