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Individual

MYCHAILO FULMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
2647 CONEY ISLAND AVE, BROOKLYN, NY 11223-5502
(718) 743-4450
(718) 743-4452
Mailing address
3037 30TH ST APT 4F, ASTORIA, NY 11102-2242
(917) 284-7455
(718) 743-4452

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
250373-1
NY

Other

Enumeration date
06/12/2008
Last updated
04/04/2013
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