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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 009370 (NY) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in East Patchogue
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.