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Samuel Isaac Fuller, MD
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1851095939

Samuel Isaac Fuller is a Student in an Organized Health Care Education/Training Program based in Mentor, NY. Samuel Isaac Fuller practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Samuel Isaac Fuller is 1851095939 and holds a License No. (New York).

The current practice location address for Samuel Isaac Fuller is 462 Grider St, Buffalo, NY and can be reached out via phone at 716-898-3000.

Location: 462 Grider St, Buffalo, NY, 44060-3668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851095939
Provider Name
Samuel Isaac Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
462 Grider St, Buffalo, NY, 44060-3668
Phone Number
716-898-3000
Fax Number
Provider Enumeration Date
03/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3098
Phone Number
716-898-3000
Fax Number
person
Provider Business Mailing Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3098
Phone Number
716-898-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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