Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fulton Medical, PC

Organization Internal Medicine Physician · NPI 1841635133

Fulton Medical, PC is an Internal Medicine Physician in Massapequa, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Boundary Ave Ste 200
Massapequa, NY 11758-1152
Phone: (631) 271-9151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 234331 (NY)

Record details

NPI number1841635133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigoriy Krichmar — Owner · (631) 271-9151
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013
Mailing address200 Boundary Ave, Ste. 200, Massapequa, NY 11758-1152

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