Alexander Fuller, PA-C
Alexander Fuller, PA-C is a Physician Assistant in Eastport, New York. Qualified in 2019, 7 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment.
- Years since qualifying
- 7
- In the registry since
- 2019
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
21 Eastport Manor RdEastport, NY 11941-1410
Phone: (631) 325-2255
Fax: (631) 325-8562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1134761778 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2019 |
| Last updated in NPPES | October 15, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Stony Brook Internists University Faculty Practice Corporation — 428 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Eastport
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Asha Antony, PA
21 Eastport Manor Rd, Eastport, NY 11941-1410 · (631) 325-2255