SearchNew York374J00000X

Tinamarie Fullerton

NPI 1174009617 · on the registry since 2018 · sole proprietor

Practice

Address
1392 Brooklyn Blvd
Bay Shore, NY 11706
Phone
(631) 374-1190

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2018-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York