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

Fulton Family Psychiatry PC

Organization Psychiatry Physician · NPI 1912563867

Fulton Family Psychiatry PC provides Psychiatry Physician services in Fulton, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

451 S 4th St
Fulton, NY 13069-2916
Phone: (315) 887-1059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1912563867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cecile Matip — Md · (315) 887-1059
NPI enumeratedMay 16, 2019
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressPo Box 380, Monsey, NY 10952-0380

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