Ederer, Michelle Margaret
Ederer, Michelle Margaret is an individual health care provider with primary practice located at 3504 W Genesee St , Syracuse NY 13219-2008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ederer, Michelle Margaret can be contacted via phone (315) 350-3305.Contact Information
Primary practice address
3504 W Genesee St
Syracuse NY 13219-2008
Phone: (315) 350-3305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006151 | New York |
Profile Details
| NPI number | 1326020033 |
|---|---|
| LBN Legal business name | Ederer, Michelle Margaret |
| Credentials | B.A.,M.A., P.A.-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1326020033 | NPPES |
| New York | MEDICAID | 02208226 |
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