| NPI | 1528227568 |
|---|---|
| Doing Business As | FULTON AVENUE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DIANE SENTELL HARPER Manager 516-385-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 333895) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300692) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2010-04-06 |