MEDICARE: ANNEMARIE FULLEM PT

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	225100000X	Physical Therapist	013881-01	NY

General Provider Information

NPI Number	:	1275803918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNEMARIE FULLEM PT

Provider Business Mailing Address
First Line	:	542 E 79TH ST APT 1O
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-1568
Country	:	US
Telephone Number	:	646-830-9167
Fax Number	:

Provider Business Practice Location Address
First Line	:	542 E 79TH ST APT 1O
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-1568
Country	:	US
Telephone Number	:	646-830-9167
Fax Number	:

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

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	10/08/2025

Similar Medicare Providers

1235244765 — MS. CORINNE MILLER WEINMAN LMHC, CRC
Practice Location Address:

72 HORATIO ST
NEW YORK, NY
10014-1568

Practice Phone: 212-989-0961
Practice Fax: 212-995-4358

1245386549 — WALTER DONACH O.D.
Practice Location Address:

6110 BERGENLINE AVE
WEST NEW YORK, NJ
07093-1568

Practice Phone: 201-861-1144
Practice Fax: 201-868-3577

1568668416 — JOSEPH DURAN PROFESSIONAL ASSCOCIATION INC.
Practice Location Address:

6110 BERGENLINE AVE
WEST NEW YORK, NJ
07093-1568

Practice Phone: 201-861-1234
Practice Fax:

1578875290 — MS. SARAH DELANEY FRANTZREB NP
Practice Location Address:

106 CENTRAL PARK S APT 4F
NEW YORK, NY
10019-1568

Practice Phone: 646-363-6212
Practice Fax:

1003347741 — ELYSIUM ACUPUNCTURE PC
Practice Location Address:

129 E 90TH ST , 1W
NEW YORK, NY
10128-1568

Practice Phone: 646-609-4250
Practice Fax:

1922786433 — TOMITA WOODS
Practice Location Address:

5435 YORK LN S
COLUMBUS, OH
43232-1568

Practice Phone: 614-226-8574
Practice Fax:

Directions to “ ANNEMARIE FULLEM PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.