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NPI Profile for FULTON STREET MEDICAL PC in FARMINGDALE, NY.
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neuromusculoskeletal Medicine, Sports Medicine |
204C00000X | 12 | Physician/Osteopathic Manipulative Medicine |
| NPI # | 1740586833 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/07/2011 | |
| Last updated | 02/07/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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FULTON STREET MEDICAL, PC