Individual provider · Type 1 NPI
Melissa Sue Fuller
State or Local Public Health Clinic/Center · Plattsburgh, NY
NPI number
1477078459
Active
Practice location
133 Margaret St
Plattsburgh, NY 12901-2926
Fax (518) 565-4509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| State or Local Public Health Clinic/Center Primary | 261QP0905X | 1740207299 (NY) |
State or Local Public Health Clinic/Center: Definition to come...
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About NPI 1477078459
Melissa Sue Fuller's National Provider Identifier is 1477078459, issued on Aug 10, 2017. The primary taxonomy on file is State or Local Public Health Clinic/Center (261QP0905X), and the practice location is in Plattsburgh, NY. The record was last updated on Jun 11, 2019.