Individual
MR. BRIAN FULTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Contact information
Practice address
2 DELAVERGNE AVE, C/O CENTER FOR PHYSICAL THERAPY, WAPPINGERS FALLS, NY 12590-1202
(845) 297-4789
(845) 297-8596
Mailing address
2 DELAVERGNE AVE, C/O CENTER FOR PHYSICAL THERAPY, WAPPINGERS FALLS, NY 12590-1202
(845) 297-4789
(845) 297-8596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026214
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000409356001
HEALTH NOW
—
01
—
100093
OPERATING ENGNRS LCL 825
—
01
—
10086264
CDPHP
—
01
—
2223675
CCN
—
01
—
2436962
UNITED HEALTH CARE
—
01
—
3575347
AETNA HMO
—
01
—
4126154
MVP
—
01
—
7998596
AETNA PPO
—
01
—
837295
MANAGED PHYSICAL NETWORK
—
01
—
P3308238
OXFORD
—
01
—
Q11J7
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/11/2005
Last updated
07/08/2007
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