Individual
CASSIE LYNN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1934 WILLIAMSBRIDGE RD, BRONX, NY 10461-1638
(718) 822-4100
(718) 829-1350
Mailing address
1934 WILLIAMSBRIDGE RD, BRONX, NY 10461-1638
(718) 822-4100
(718) 829-1350
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002687-1
NY
237600000X
Audiologist-Hearing Aid Fitter
14000049486
NY
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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