Individual
MR. ANDREW FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 513-2206
(845) 513-2265
Mailing address
50 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 513-2206
(845) 513-2265
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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