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

Samuel Isaac Fuller, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851095939

Samuel Isaac Fuller, MD is a Student in an Organized Health Care Education/Training Program in Buffalo, New York. Registered with an NPI since 2023.

In the registry since
2023
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

462 Grider St
Buffalo, NY 14215-3098
Phone: (716) 898-3000
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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 number1851095939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 27, 2023
Mailing address6416 Meadowbrook Dr, Mentor, OH 44060-3668

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