Individual
CARRIE J FIDURKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 LAURENS ST, OLEAN, NY 14760-2511
(716) 373-8080
(716) 373-8150
Mailing address
21 CRESCENT ST, SALAMANCA, NY 14779-1603
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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