Individual
FREDRIC IRA FAGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 ORCHARD DR, QUEENSBURY, NY 12804-1307
(518) 792-6983
Mailing address
13 ORCHARD DR, QUEENSBURY, NY 12804-1307
(518) 792-6983
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
122981-1
NY
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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