Provider Demographics
NPI:1083693469
Name:FLESHER, JAMES H (NP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:FLESHER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:915 SPLIT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-3109
Mailing Address - Country:US
Mailing Address - Phone:516-343-8124
Mailing Address - Fax:
Practice Address - Street 1:3728 77TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6630
Practice Address - Country:US
Practice Address - Phone:718-335-7378
Practice Address - Fax:718-335-1071
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF300439363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health