Individual
CAROLE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-1956
Mailing address
241 HENDERSON RD, FAIRFIELD, CT 06824-4908
(203) 583-6187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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