Individual
MARIA FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
85 UNIVERSITY HEIGHTS DR, STONY BROOK, NY 11790-2731
(631) 714-4624
Mailing address
85 UNIVERSITY HEIGHTS DR, STONY BROOK, NY 11790-2731
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
635379-1
NY
Other
Enumeration date
10/12/2011
Last updated
02/26/2019
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