| NPI | 1134300999 |
|---|---|
| Doing Business As | FULTON AVENUE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DIANE S HARPER Co Owner 516-385-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY F300692) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-06-23 |