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SAMUEL ISAAC FULLER MD
NPI 1851095939
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since March 30, 2023
462 GRIDER ST, BUFFALO, NY 14215(716) 898-3000 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Isaac Fuller Md NPPES

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

SAMUEL ISAAC FULLER MD (NPI 1851095939) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1851095939
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ISAAC FULLERCredential: MD
Location Address462 GRIDER STBuffalo, NY 14215-3098
Mailing Address6416 Meadowbrook DrMentor, OH 44060-3668 · (440) 223-3921
Phone(716) 898-3000
Sole ProprietorNo
Enumeration DateMarch 30, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1851095939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 GRIDER ST, Buffalo, NY 14215
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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.

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
ALEXANDRA VAZQUEZ AGACNP
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575

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 Samuel Fuller's NPI number?

The NPI number for Samuel Fuller is 1851095939. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Samuel Fuller located?

Samuel Fuller practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-3000.

What is Samuel Fuller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Fuller was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.