Individual
ANNEMARIE FULLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
542 E 79TH ST APT 1O, NEW YORK, NY 10075-1568
(646) 830-9167
Mailing address
542 E 79TH ST APT 1O, NEW YORK, NY 10075-1568
(646) 830-9167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013881-01
NY
Other
Enumeration date
01/11/2012
Last updated
10/08/2025
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