Fuller, Anthony Demetrius

Fuller, Anthony Demetrius is an sole proprietor health care provider with primary practice located at 44 The Blvd , Amityville NY 11701-1433. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Fuller, Anthony Demetrius can be contacted via phone (631) 608-8741.

Contact Information

Primary practice address
44 The Blvd Amityville NY 11701-1433
Phone: (631) 608-8741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 228275 New York

Profile Details

NPI number 1073636494
LBN Legal business name Fuller, Anthony Demetrius
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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