Fulton Street Medical, Pc

NPI 1740586833 - Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X

NPI Details
NPI 1740586833
Enumeration Date 02/07/2011
Last Updated 02/07/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOSEPH JOSEPH
Position PRESIDENT
Phone (151) 575-5585
Fax
Practice Location
101 FULTON STREET
FARMINGDALE NY, 11735, US
Phone (151) 575-5585
Fax
Business Location
101 FULTON STREET
FARMINGDALE NY, 11735, US
Phone (151) 575-5585
Fax
Toxanomy
Taxonomy Code 204C00000X
License State New York
License Number 133799
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According to our database, Fulton Street Medical, Pc NPI is 1740586833, taxonomy code is 204C00000X and license number is 133799, license state is located at New York. Fulton Street Medical, Pc physically located at 101 Fulton Street, Farmingdale NY, 11735. NPI Number 1033115704 has the healthcare provider type.

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1740586833 NPI number is provided on an as is basis without warranty of any kind. 1740586833 is maintained by the National Plan & Provider Enumeration System. The contents of Fulton Street Medical, Pc are for informational purposes only.