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Individual

WILLIAM FUDEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
109 S ALBANY ST STE 205, ITHACA, NY 14850-5483
(607) 272-8390
Mailing address
109 S ALBANY ST STE 205, ITHACA, NY 14850-5483
(607) 272-8390

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
902
NY

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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