Cunningham, Matthew
Cunningham, Matthew is an individual health care provider with primary practice located at 1 Tallow Wood Dr , Clifton Park NY 12065-2807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cunningham, Matthew can be contacted via phone (518) 373-4500.Contact Information
Primary practice address
1 Tallow Wood Dr
Clifton Park NY 12065-2807
Phone: (518) 373-4500
Fax: (518) 371-7811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 217608 | New York |
Profile Details
| NPI number | 1114988904 |
|---|---|
| LBN Legal business name | Cunningham, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | May 10th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114988904 | NPPES |
| New York | MEDICAID | 02087718 |
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