Individual
SAMANTHA FUSTINONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GRAHAM RD W STE 200, ITHACA, NY 14850-1055
(607) 319-4754
Mailing address
2 GRAHAM RD W STE 200, ITHACA, NY 14850-1055
(607) 319-4754
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000054986
NY
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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