ALEXANDER FULLER

EASTPORT, NY
NPI1134761778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-10-15
Last Update Date2019-10-15
Business Address
ALEXANDER FULLER PA-C
21 EASTPORT MANOR RD
EASTPORT, NY 11941-1410
Phone number: 631-325-2255
Mailing Address
ALEXANDER FULLER PA-C
25 RICHIE CT N
SAINT JAMES, NY 11780-3151
Phone number: 631-793-0971