Individual
DR. ANCY F KUNNUMPURATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2612 STATE ROUTE 80, LA FAYETTE, NY 13084-9736
(315) 696-8627
Mailing address
2612 STATE ROUTE 80, LA FAYETTE, NY 13084-9736
(315) 696-8627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204755-1
NY
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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