Individual
ROMAN FULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5039
(845) 357-5777
Mailing address
100 ROUTE 59, SUITE 105, SUFFERN, NY 10901-4927
(845) 357-5775
(845) 357-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
253931
NY
207L00000X
Anesthesiology Physician
25MA08814600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0296074
—
NJ
05
—
03264362
—
NY
05
—
1026462960001
—
PA
Enumeration date
06/29/2007
Last updated
06/20/2013
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