Individual
DR. RUDOLPH PETER FEDRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W SENECA ST, ITHACA, NY 14850-4130
(607) 272-0200
(607) 272-0240
Mailing address
1220 TRUMANSBURG RD, ITHACA, NY 14850-1314
(607) 273-0011
(607) 272-0240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
235229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644168
—
NY
Enumeration date
09/21/2006
Last updated
07/08/2007
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