Organization
SOULITUDES LLC
Active
Other names
SOULITUDES Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE CHUDYK N.D. (OWNER/PRESIDENT)
(585) 377-1990
Entity
Organization
Contact information
Practice address
1387 FAIRPORT RD, BUILDING 500 SUITE 520, FAIRPORT, NY 14450-2003
(585) 377-1990
(585) 377-1997
Mailing address
1387 FAIRPORT RD, BUILDING 500 SUITE 520, FAIRPORT, NY 14450-2003
(585) 377-1990
(585) 377-1997
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
3375951
NY
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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