Provider Demographics
NPI:1891194593
Name:FLEMING, ALLISON MEAGHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MEAGHAN
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 LYELL AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14606-2323
Mailing Address - Country:US
Mailing Address - Phone:315-651-0794
Mailing Address - Fax:
Practice Address - Street 1:2005 LYELL AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-2323
Practice Address - Country:US
Practice Address - Phone:315-651-0794
Practice Address - Fax:585-219-5660
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1418867376907Medicare PIN