Individual provider · Type 1 NPI

Jennifer Fulton, PA

Medical Physician Assistant · East Patchogue, NY

NPI number 1649260357 Active

Practice location

285 Sills Rd
East Patchogue, NY 11772-4869

Mailing address

951 Roanoke Ave
Riverhead, NY 11901-2724

Other practice locations

  • 951 Roanoke Ave, Riverhead, NY 11901-2724 · (631) 727-7773

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X009370 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1649260357

Jennifer Fulton, PA's National Provider Identifier is 1649260357, issued on Oct 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Patchogue, NY. The record was last updated on Aug 11, 2022.