Provider Demographics
NPI:1851666499
Name:FLEMMING, DHEEMATTI (BSN)
Entity Type:Individual
Prefix:MISS
First Name:DHEEMATTI
Middle Name:
Last Name:FLEMMING
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:DHEEMATTI
Other - Middle Name:
Other - Last Name:FLEMMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:101-0 2 ROCKAWAY BOULEVARD
Mailing Address - Street 2:JOHN ADAMS HIGH SCHOOL
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-1427
Mailing Address - Country:US
Mailing Address - Phone:718-322-0500
Mailing Address - Fax:718-738-9077
Practice Address - Street 1:8811 SUTTER AVE
Practice Address - Street 2:OZONE PARK
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11417-1427
Practice Address - Country:US
Practice Address - Phone:718-322-0612
Practice Address - Fax:718-738-9077
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY463787-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse