Individual
MR. FREDERICK W STAFFORD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 WASHINGTON AVE, ALBANY, NY 12203-1017
(518) 463-1211
Mailing address
681 FARM TO MARKET RD, TROY, NY 12180-9054
(518) 512-2714
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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