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MR. ANTHONY DEMETRIUS FULLER L.P.N
NPI 1073636494
Licensed Practical Nurse in Amityville, NY

Active since April 09, 2007
44 THE BLVD, AMITYVILLE, NY 11701(631) 608-8741 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Anthony Demetrius Fuller L.p.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY DEMETRIUS FULLER L.P.N (NPI 1073636494) is an individual licensed practical nurse in Amityville, New York, licensed in New York (228275) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1073636494
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. ANTHONY DEMETRIUS FULLERCredential: L.P.N
Location Address44 THE BLVDAmityville, NY 11701-1433
Mailing Address44 The BlvdAmityville, NY 11701-1433 · (631) 608-8741
Phone(631) 608-8741
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073636494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 228275
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
44 THE BLVD, Amityville, NY 11701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Fuller's NPI number?

The NPI number for Anthony Fuller is 1073636494. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Anthony Fuller located?

Anthony Fuller practices at 44 The Blvd, Amityville, NY 11701. The listed phone number is (631) 608-8741.

What is Anthony Fuller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Anthony Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.