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Individual

DR. IMBESAT A. DAUDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 HOFFMAN ST, ELMIRA, NY 14905-2220
(607) 733-1156
(607) 737-7968
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 768-4562
(207) 768-4560

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
194160
NY
208800000X
Urology Physician
Primary
MD14600
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04037472
NY
05
1285892778
ME
Enumeration date
01/05/2007
Last updated
07/21/2022
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