MR. Anthony Demetrius Fuller, L.P.N
NPI #1073636494 in Amityville, New York
Provider Information
- NPI Number
- 1073636494
- Entity Type
- Individual
- Name
- MR. Anthony Demetrius Fuller, L.P.N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 44 THE BLVD
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1433
- Phone
- (631) 608-8741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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