Fulton, Jennifer

Fulton, Jennifer is an individual health care provider with primary practice located at 285 Sills Rd , E Patchogue NY 11772-4869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fulton, Jennifer can be contacted via phone (631) 447-8300.

Contact Information

Primary practice address
285 Sills Rd E Patchogue NY 11772-4869
Phone: (631) 447-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009370 New York

Profile Details

NPI number 1649260357
LBN Legal business name Fulton, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 11th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649260357 NPPES
New York MEDICAID 02519684

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