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Organization
FULTON FAMILY MEDICINE PRACTICE PC
Active
Organization
FULTON FAMILY MEDICINE PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER SERWADDA LUBINGA M.D. (OWNER)
(315) 532-8049
Entity
Organization
Contact information
Practice address
20 CANALVIEW MALL, FULTON, NY 13069-1735
(315) 532-8049
Mailing address
1782 STATE ROUTE 48, FULTON, NY 13069-4108
(315) 532-8049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2618481
NY
Other
Enumeration date
02/09/2012
Last updated
05/01/2013
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