National Provider Identifier Database

FULTON STREET MEDICAL PC
Neuromusculoskeletal Medicine, Sports Medicine

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.


Contact Information

FULTON STREET MEDICAL, PC
101 FULTON STREET
FARMINGDALE, NY11735
Phone: 151-575-5585
Fax:
Website:
Specialty Taxonomy Code
* Neuromusculoskeletal Medicine, Sports Medicine 204C00000X

* Indicates primary specialty

NPI Profile & details for FULTON STREET MEDICAL, PC

NPI Number 1740586833
Legal business name
LBN
FULTON STREET MEDICAL, PC
Authorized official JOSEPH ASHLEY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/07/2011
Last updated 02/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 133799

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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