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1487711966
MICHAEL KEEN FULLAR
NEW YORK, NY
NPI
1487711966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 241619-1)
Enumeration Date
2007-01-03
Last Update Date
2021-12-20
Business Address
Mr. MICHAEL KEEN FULLAR MD
BETH ISRAEL MEDICAL CENTER 1ST AVE AND 16TH ST
NEW YORK, NY 10003
Phone number: 212-844-1543
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Mailing Address
Mr. MICHAEL KEEN FULLAR MD
310 E 24TH ST APT 2E
NEW YORK, NY 10010-4030
Phone number: 646-942-6162
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