Individual
MISS JENNIFER FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
285 SILLS RD, E PATCHOGUE, NY 11772-4869
(631) 447-8300
Mailing address
951 ROANOKE AVE, RIVERHEAD, NY 11901-2724
(631) 727-7773
(631) 727-7832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519684
—
NY
Enumeration date
10/24/2005
Last updated
08/11/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us