Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER FULLER, PA-C
Active Sole ProprietorALEXANDER FULLER, PA-C is a Physician Assistant healthcare provider located in EASTPORT, New York. NPI 1134761778 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EASTPORT, NY
Registration Details
- NPI Number
- 1134761778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2019 (6.8159970788447 yrs)
- Last Updated
- Oct 15, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 EASTPORT MANOR RDEASTPORT, NY, 119411410Browse NY providers · Browse ZIP 11941
- Phone
- 6313252255
- Fax
- 6313258562
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EASTPORT, NY
| Name | Credential | NPI |
|---|---|---|
| ASHA ANTONY | PA | 1568032001 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.