Individual
MS. LINDA KAY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1102 GATES AVE, BROOKLYN, NY 11221-4304
(347) 424-4799
(347) 238-3674
Mailing address
1102 GATES AVE, BROOKLYN, NY 11221-4304
(347) 424-4799
(347) 238-3674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
526438-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405928-01
NY
Other
Enumeration date
06/08/2010
Last updated
06/02/2025
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