Individual
PAMMIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(212) 876-2300
(718) 632-1568
Mailing address
17515 ROCKAWAY BLVD, JAMAICA, NY 11434-5503
(718) 632-3275
(718) 632-1568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
40503
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
07/21/2025
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