Fullerton, Emily Rebecca

Fullerton, Emily Rebecca is an individual health care provider with primary practice located at 190 Outer Main St , Potsdam NY 13676-2324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fullerton, Emily Rebecca can be contacted via phone (315) 265-9271.

Contact Information

Primary practice address
190 Outer Main St Potsdam NY 13676-2324
Phone: (315) 265-9271
Fax: (315) 265-4206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014608 New York

Profile Details

NPI number 1528366051
LBN Legal business name Fullerton, Emily Rebecca
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Mar 8th, 2011 - about 14 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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