# FULTON PHYSICAL MEDICINE & REHABILITATION PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558519967
- **Authorized official:** DR. ROMAN SORIN M.D (OWNER)
- **Authorized official phone:** (212) 962-2262

## Contact information

- **Practice address:** 122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
- **Practice address phone:** (212) 962-2262
- **Practice address fax:** (212) 962-7472
- **Mailing address:** 122 FULTON ST, 6TH FLOOR, NEW YORK, NY 10038-2717
- **Mailing address phone:** (212) 962-2262
- **Mailing address fax:** (212) 962-7472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 03/12/2009
