GLENN H FREDENBURG

BUFFALO, NY
NPI1679152664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VT  101.0134798)
Enumeration Date2021-04-06
Last Update Date2022-04-27
Business Address
GLENN H FREDENBURG
40 LA RIVIERE DR STE 201
BUFFALO, NY 14202-4344
Phone number: 518-335-5097
Mailing Address
GLENN H FREDENBURG
9467 STATE ROUTE 9
CHAZY, NY 12921-2043
Phone number: 518-335-5097
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