MEDICARE: JULIYA FULMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	26NJ15453500	NJ

General Provider Information

NPI Number	:	1467317883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIYA FULMAN

Provider Business Mailing Address
First Line	:	113 TENNENT RD UNIT 519
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751-6220
Country	:	US
Telephone Number	:	718-577-7554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2829 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7869
Country	:	US
Telephone Number	:	718-577-7554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ JULIYA FULMAN ” Practice Location

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