Fulcomer, Lourdes Sofia
Fulcomer, Lourdes Sofia is an sole proprietor health care provider with primary practice located at 4 Fuller St , Alexandria Bay NY 13607-1391. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fulcomer, Lourdes Sofia can be contacted via phone (315) 482-1125.Contact Information
Primary practice address
4 Fuller St
Alexandria Bay NY 13607-1391
Phone: (315) 482-1125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 803858 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 351959 | New York |
Profile Details
| NPI number | 1770268757 |
|---|---|
| LBN Legal business name | Fulcomer, Lourdes Sofia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2023 |
| Last updated | Jun 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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