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Mr. Michael John Fullam, PA
Physician Assistant in Patchogue, New York
NPI 1255599163

Michael John Fullam is a Physician Assistant based in Shoreham, NY. Michael John Fullam practices in Patchogue, NY and has the professional credentials of PA. The NPI Number for Michael John Fullam is 1255599163 and holds a License No. 006268 (New York).

The current practice location address for Michael John Fullam is 107 N Ocean Ave, Patchogue, NY and can be reached out via phone at 631-654-5004. You can also correspond with Michael John Fullam through the mailing address at 25 NORTHUMBERLAND DR, SHOREHAM, NY - 11786-2000 (mailing address contact number: 631-846-6984).

Location: 107 N Ocean Ave, Patchogue, NY, 11786-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255599163
Provider Name
Michael John Fullam
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
107 N Ocean Ave, Patchogue, NY, 11786-2000
Phone Number
631-654-5004
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
107 N Ocean Ave
City
Patchogue
State
New York
Zip
11772-2012
Phone Number
631-654-5004
Fax Number
person
Provider Business Mailing Address Details
Address
107 N Ocean Ave
City
Patchogue
State
New York
Zip
11772-2012
Phone Number
631-654-5004
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
006268 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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