DR. WENDY P FULLER (NPI# 1699285759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699285759 |
| Entity Type | Individual |
| Full Name | DR. WENDY P FULLER |
| Credential | PHD |
| Practice Address |
75-79 263rd St Glen Oaks NY 11004 |
| Mailing Address |
75-79 263rd St Glen Oaks NY 11004-1150 |
| Practice Telephone | 7184708995 |
| Mailing Telephone | 7184708995 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
022384 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75-59 263rd Street, Glen Oaks, NY 11004 | 7184708995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871149641 | Wendy Fuller | Counselor | 1084 S Main St Ste A, Bowling Green, OH 43402-4740 | 2019-08-16 |
| 1487840963 | Wendy Jo Fuller | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2007-09-19 |
| 1992714984 | Wendy Brannan Fuller | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2006-08-07 |
| 1700840568 | Wendy S Fuller | Nurse Practitioner | 551 N Cherokee Rd, Social Circle, GA 30025-2887 | 2006-04-17 |
| Street Address |
75-79 263RD ST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| 1730522756 | Fatima Masumova | Student in an Organized Health Care Education/Training Program | 75-59 263rd Street @ 74th Avenue, Glen Oaks, NY 11004 | 2013-04-09 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831566405 | Gregory Vikingstad | Psychologist | 7529 263rd St, Glen Oaks, NY 11004-1150 | 2015-08-30 |
| 1982876348 | Denise M Coscia | Psychologist | 7301 260th St, Glen Oaks, NY 11004-1121 | 2008-03-26 |
| 1407401284 | Jenna Feldman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2019-08-07 |
| 1477036200 | Brianna Cheney | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2018-09-07 |
| 1821508912 | Deborah Ohm | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2017-10-03 |
| 1689190787 | Aaron Tropper | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2017-08-21 |
| 1033588991 | Ren Jolie Krinick | Psychologist | 7559 263rd St, Glen Oaks, NY 11004 | 2015-09-22 |
| 1245616150 | Kristen Nicole Risola | Psychologist | 7559 263rd St, Ambulatory Care Pavilion Door 2, Glen Oaks, NY 11004-1150 | 2015-08-03 |
| 1952787822 | Jodie Eisner | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2015-08-03 |
| 1164851499 | Anthony Pinto | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2013-11-07 |
| Find all providers in GLEN OAKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.