OrganizationActive
Phillipa Gill-Fulcher
NPI 1104178540 · Nursing Facility/Intermediate Care Facility · Queens Village, NY
Provider details
- NPI number
- 1104178540
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Phillipa Gill-Fulcher, Registered Nurse(718) 776-8889
- License
- 440703 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
22746 Murdock Ave
Queens Village, NY 11429-2731
Phone: (718) 776-8889
Approximate (ZIP-level) locationGet directions
Mailing address
22746 Murdock Ave
Queens Village, NY 11429-2731
Registry dates
- Enumerated
- 2012-10-10
- Last updated
- 2012-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.