Provider Demographics
NPI:1780268573
Name:FLEMING, BRIANA TERESA (PA-C)
Entity type:Individual
Prefix:MISS
First Name:BRIANA
Middle Name:TERESA
Last Name:FLEMING
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:61 SHIRLEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-5553
Mailing Address - Country:US
Mailing Address - Phone:917-750-4032
Mailing Address - Fax:
Practice Address - Street 1:200 WHITE RD STE 111
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1160
Practice Address - Country:US
Practice Address - Phone:732-747-7935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-08
Last Update Date:2023-05-31
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant