Shoshoni Nakia Fulcher, MSED

NPI #1841546884 in Rosedale, New York

Provider Information

NPI Number: 1841546884
Entity Type: Individual
Name: Shoshoni Nakia Fulcher, MSED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Jul 27, 2012
Last Updated: Jul 30, 2012

Practice Location

Address: 13003 233RD ST
City: Rosedale
State: New York
ZIP Code: 11422-1224
Phone: (347) 526-7379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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