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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578398988

Jessica Eneas Fulfaro, MD is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 E Adams St Dept OF Pathology
Syracuse, NY 13210-1834
Phone: (682) 712-5772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1578398988
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

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