Individual
DR. CLIFFORD FULMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
651 E 7TH ST FL 2, BROOKLYN, NY 11218-5903
(646) 418-9499
Mailing address
651 E 7TH ST FL 2, BROOKLYN, NY 11218-5903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
041817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
—
Enumeration date
11/12/2017
Last updated
11/12/2017
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