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PAUL G FULLER JR. MD
NPI 1497774749
Pediatrics in Syracuse, NY

Active since July 18, 2006
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202(315) 464-4357(315) 464-2030 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul G Fuller Jr. Md NPPES

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

PAUL G FULLER JR. MD (NPI 1497774749) is an individual pediatrics provider in Syracuse, New York, licensed in New York (122518) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1497774749
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL G FULLER JR.Credential: MD
Location Address90 PRESIDENTIAL PLZ, 3RD FLOORSyracuse, NY 13202-2240
Mailing Address90 Presidential Plz, 3rd FloorSyracuse, NY 13202-2240 · (315) 464-4357 · Fax (315) 464-2030
Phone(315) 464-4357
Fax(315) 464-2030
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1497774749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 122518
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
90 PRESIDENTIAL PLZ, Syracuse, NY 13202
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Other Identifiers 2

Medicaid00382150NY
Medicare PINJ400002211NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE M AGEN NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 3RD FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-5210
GRETA JASINSKI
Physician Assistant
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4470
FRANCES I SWIECKI NP
Nurse Practitioner
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
JULIANN MELLEN
Dietitian, Registered
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-3716
ROBERT R. MICHIEL MD
Internal Medicine (Cardiovascular Disease)
90 PRESIDENTIAL PLZ, 5TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-9335
DEBORAH Y BRADSHAW M.D.
Psychiatry & Neurology (Neurology)
90 PRESIDENTIAL PLZ, 4TH FLOOR
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
AYDAN KAHRIMAN
Student in an Organized Health Care Education/Training Program
90 PRESIDENTIAL PLZ
SYRACUSE, NY 13202
Onondaga County (315) 464-4243
MERIBETH A OGRINC MD
Internal Medicine (Rheumatology)
90 PRESIDENTIAL PLZ, RHEUMATOLOGY, FIRM C
SYRACUSE, NY 13202
Onondaga County (315) 464-3836

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 Paul Fuller's NPI number?

The NPI number for Paul Fuller is 1497774749. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Paul Fuller located?

Paul Fuller practices at 90 Presidential Plz 3rd Floor, Syracuse, NY 13202. The listed phone number is (315) 464-4357.

What is Paul Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Paul Fuller was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.