Organization
FULLERS PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA K FULLER APRN (DIRECTOR)
(347) 300-5858
Entity
Organization
Contact information
Practice address
445 PARK AVE FL 990167, NEW YORK, NY 10022-2606
(347) 300-5858
Mailing address
1102 GATES AVE, BROOKLYN, NY 11221-4304
(347) 300-5858
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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