Organization
FULTON STREET MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ASHLEY MD (PRESIDENT)
15157555855
Entity
Organization
Contact information
Practice address
101 FULTON STREET, FARMINGDALE, NY 11735
(151) 575-5585
Mailing address
101 FULTON STREET, FARMINGDALE, NY 11735
(151) 575-5585
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
133799
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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