| NPI | 1275806036 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-02-09 |
| Last Updated | 2013-05-01 |
| Authorized Official | Esther Lubinga OWNER Phone: 3155328049 |
| Mailing Address | 1782 State Route 48 Fulton, NY 13069-4108 United States Phone: (315) 532-8049 📍 View Map |
| Primary Practice Address | 20 Canalview Mall Fulton, NY 13069-1735 United States Phone: (315) 532-8049 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 03444819 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | NY | 2618481 |
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About NPI 1275806036
Fulton Family Medicine Practice Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1275806036. The primary specialty listed is Family Medicine. The organization is located in Fulton, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-02-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275806036?
NPI 1275806036 belongs to Fulton Family Medicine Practice Pc, a Family Medicine in Fulton, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275806036 active?
The current status of NPI 1275806036 in the NPPES registry is Active. The record was last updated on 2013-05-01.
What specialty is NPI 1275806036?
NPI 1275806036 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275806036?
You can verify NPI 1275806036 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275806036?
The primary practice address on file for NPI 1275806036 is 20 Canalview Mall, Fulton, NY 13069-1735. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275806036 issued?
NPI 1275806036 was first issued (enumerated) on 2012-02-09. The NPPES record was last updated on 2013-05-01.
Practice Location Map
Fulton Family Medicine Practice Pc is located at 20 Canalview Mall, Fulton, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Fulton Family Medicine Practice Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275806036. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | 2618481 | NY |