Beth M Fuller
Individual provider Active NPI Attendant Care Provider · Florida, NY
NPI 1144879792 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1144879792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 19 Noble PL
Florida, NY 10921-1913 - Phone
- (845) 651-4525
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
19 Noble PL
Florida, NY 10921-1913
Mailing address
19 Noble PL
Florida, NY 10921-1913
Phone (845) 651-4525
Other providers in Florida, NY
- Shannon Flynn
- Maureen Patricia Foote
- Wendi Foster Culver
- Dianna R. Fox
- Jamie Fragale
- Kathleen Ann Garito
- Brooke Gaslow
- Anne Marie Glenn Fellenzer
- Elizabeth Jean Golubinski
- Jennifer Dorothy Grammerstorf
All providers in Florida, NY · Attendant Care Provider in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.