Individual
WILLIAM LUMADUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(188) 831-7049
Mailing address
69 ARNOLD AT UPPER, BUFFALO, NY 14213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007274-1
NY
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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