Individual
CHERYL T. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
(212) 368-5608
Mailing address
279 W 118TH ST APT 4B, NEW YORK, NY 10026-1629
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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