Individual
DR. JACKSON K LABUDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3476
(607) 547-4786
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-6672
(607) 547-4786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
164023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500027
—
NY
Enumeration date
03/29/2006
Last updated
04/03/2008
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