Individual
FREDRICK BRUCE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
279 TROY ROAD, RENSSELAER, NY 12144
(518) 286-1922
(518) 283-3225
Mailing address
279 TROY ROAD, RENSSELAER, NY 12144
(518) 286-1922
(518) 283-3225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002257
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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