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Individual

DR. DONALD R. DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
90 ERIE CANAL DR, SUITE D, ROCHESTER, NY 14626-4601
(585) 225-6430
(585) 225-9636
Mailing address
90 ERIE CANAL DR, SUITE D, ROCHESTER, NY 14626-4601
(585) 225-6430
(585) 225-9636

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009170
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C09170-4
WORKERS COMP
NY
Enumeration date
06/23/2006
Last updated
09/06/2023
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