Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL JOHN FULLAM, PA
ActiveMR. MICHAEL JOHN FULLAM, PA is a Physician Assistant healthcare provider located in PATCHOGUE, New York. NPI 1255599163 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PATCHOGUE, NY
Registration Details
- NPI Number
- 1255599163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2008 (18.203481833993 yrs)
- Last Updated
- Feb 25, 2021
- License
-
006268 (NY)
Practice Information
- Address
-
107 N OCEAN AVEPATCHOGUE, NY, 117722012Browse NY providers · Browse ZIP 11772
- Phone
- 6316545004
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| ANN LANDSMAN | PA | 1659324747 |
| MRS. KARESHMA PUGLISI | PA | 1962443903 |
| MRS. DASHURIJE RUPOLO | PA | 1528009206 |
| JENNIFER A FINCKE | PA | 1588607956 |
| STACEY ANN DIMITRIOU-CIACCIO | RPA C | 1396788766 |
| LYNN CHRISTINE KRAMER | PA | 1205879673 |
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.