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

Fulton Street Medical, PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1740586833

Fulton Street Medical, PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Farmingdale, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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

101 Fulton St
Farmingdale, NY 11735
Phone: (151) 575-5585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 133799 (NY)

Record details

NPI number1740586833
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Ashley — President · (515) 755-5855
NPI enumeratedFebruary 7, 2011
Last updated in NPPESFebruary 7, 2011
Mailing address101 Fulton Street, Farmingdale, NY 11735

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