Individual
JOHN FRUSCIANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
471 ALBANY AVE, KINGSTON, NY 12401-2138
(845) 331-4300
Mailing address
116 MAIN ST APT 2, KINGSTON, NY 12401-4410
(973) 420-5074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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