FRED C STORM

ALBANY, NY
NPI1497709232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: NY  100428)
Enumeration Date2006-05-19
Last Update Date2011-12-13
Business Address
-- FRED C STORM MD
259 LARK ST
ALBANY, NY 12210-1108
Phone number: 518-434-5678
Mailing Address
-- FRED C STORM MD
195 BULOCK RD.
SLINGERLANDS, NY 12159
Phone number: 518-439-3011
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