Individual provider · Type 1 NPI

Matthew Ryan Fuller, DC, LMT

Chiropractor · Liverpool, NY

NPI number 1285307090 Active

Practice location

4225 Long Branch Rd
Liverpool, NY 13090-3201

Call (315) 515-0111 Map

Mailing address

80 E Bayard St
Seneca Falls, NY 13148-1626

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X013343 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1285307090

Matthew Ryan Fuller, DC, LMT's National Provider Identifier is 1285307090, issued on Jul 28, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Liverpool, NY. The record was last updated on Jul 28, 2021.