Individual
ALEXIS KATHLEEN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
8 CORPORATE CENTER DR STE 101, MELVILLE, NY 11747-3193
(845) 649-6327
Mailing address
8 CORPORATE CENTER DR STE 101, MELVILLE, NY 11747-3193
(845) 649-6327
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344652
NY
Other
Enumeration date
08/26/2019
Last updated
12/14/2022
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