person
Miss Jennifer Fulton, PA
Medical Physician Assistant in E Patchogue, New York
NPI 1649260357

Jennifer Fulton is a Medical Physician Assistant based in Riverhead, NY and is specialized in Medical. Jennifer Fulton practices in E Patchogue, NY and has the professional credentials of PA. The NPI Number for Jennifer Fulton is 1649260357 and holds a License No. 009370 (New York).

The current practice location address for Jennifer Fulton is 285 Sills Rd, E Patchogue, NY and can be reached out via phone at 631-447-8300.

Location: 285 Sills Rd, E Patchogue, NY, 11901-2724
person
Provider Profile Details
NPI Number
1649260357
Provider Name
Jennifer Fulton
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
285 Sills Rd, E Patchogue, NY, 11901-2724
Phone Number
631-447-8300
Fax Number
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02519684 05 NY
institution
Provider Business Practice Location Address Details
Address
285 Sills Rd
City
State
Zip
11772-4869
Phone Number
631-447-8300
Fax Number
person
Provider Business Mailing Address Details
Address
285 Sills Rd
City
State
Zip
11772-4869
Phone Number
631-447-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
009370 (New York)
Definition
Definition to come...
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