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Jessica Fudge
NPI 1427740943 · on the registry since 2023 · sole proprietor
Practice
- Address
- 7132 260th St
Glen Oaks, NY 11004 - Phone
- (134) 783-4409
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York