Breanne Fuller, PA-C

NPI #1295101731 in Hudson, New York

Provider Information

NPI Number: 1295101731
Entity Type: Individual
Name: Breanne Fuller, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 19, 2015
Last Updated: Mar 16, 2018

Practice Location

Address: 71 PROSPECT AVE
City: Hudson
State: New York
ZIP Code: 12534-2907
Phone: (518) 791-9482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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