Individual
DR. CONSTANCE FULLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHNL, PMHNP-BC
Contact information
Practice address
36-11 21ST ST, LONG ISLAND CITY, NY 11106-4505
(718) 482-7772
(718) 482-9648
Mailing address
60 MADISON AVE FL 5, NEW YORK, NY 10010-1600
(212) 545-2400
(212) 463-8411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405449-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN250856
MA
Other
Enumeration date
06/19/2021
Last updated
11/01/2024
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