Individual provider · Type 1 NPI

Samuel Isaac Fuller, MD

Student in an Organized Health Care Education/Training Program · Buffalo, NY

NPI number 1851095939 Active

Practice location

462 Grider St
Buffalo, NY 14215-3098

Call (716) 898-3000 Map

Mailing address

6416 Meadowbrook Dr
Mentor, OH 44060-3668

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1851095939

Samuel Isaac Fuller, MD's National Provider Identifier is 1851095939, issued on Mar 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buffalo, NY. The record was last updated on Mar 30, 2023.