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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326020033 NPPES
New York MEDICAID 02208226

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