Individual
MISS STACY MICHELLE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3000
Mailing address
228 WOODWARD AVE APT 2, BUFFALO, NY 14214-2314
(716) 560-3128
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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