Emily Rebecca Fullerton, PA-C

NPI #1528366051 in Potsdam, New York

Provider Information

NPI Number: 1528366051
Entity Type: Individual
Name: Emily Rebecca Fullerton, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 8, 2011
Last Updated: Mar 8, 2011

Practice Location

Address: 190 OUTER MAIN ST
City: Potsdam
State: New York
ZIP Code: 13676-2324
Phone: (315) 265-9271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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