Organization
PHILLIPA GILL-FULCHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHILLIPA GILL-FULCHER (REGISTERED NURSE)
(718) 776-8889
Entity
Organization
Contact information
Practice address
22746 MURDOCK AVE, QUEENS VILLAGE, NY 11429-2731
(718) 776-8889
Mailing address
22746 MURDOCK AVE, QUEENS VILLAGE, NY 11429-2731
(718) 776-8889
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
440703
NY
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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