NICHOLAS WILLIAM FULLONE

GARDEN CITY, NY
NPI1114507746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  812388)
Enumeration Date2021-04-08
Last Update Date2021-04-08
Business Address
NICHOLAS WILLIAM FULLONE
1 SOUTH AVE
GARDEN CITY, NY 11530-4213
Phone number: 800-233-5744
Mailing Address
NICHOLAS WILLIAM FULLONE
24 ACKERLY LN
LAKE RONKONKOMA, NY 11779-4549
Phone number: 631-375-2196