Fulton Medical, P.c.
NPI #1841635133 in Massapequa, New York
Provider Information
- NPI Number
- 1841635133
- Entity Type
- Organization
- Organization Name
- Fulton Medical, P.c.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 1, 2013
- Last Updated
- May 1, 2013
Practice Location
- Address
- 200 BOUNDARY AVE
- Address 2
- STE. 200
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-1152
- Phone
- (631) 271-9151
Authorized Official
- Name
- GRIGORIY KRICHMAR, D.O.
- Title
- OWNER
- Phone
- (631) 271-9151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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