SearchNew York111N00000X

Tasha Fuller, DC

NPI 1619448370 · on the registry since 2018 · sole proprietor

Practice

Address
47 Virginia St
Waterloo, NY 13165
Phone
(315) 664-2216

Additional practice sites

  • 9-27 East Main Street, Waterloo, NY

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-18

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