Fedczuk, Bohdan

Fedczuk, Bohdan is an individual health care provider with primary practice located at 27 Park Ave Second Floor, Binghamton NY 13903-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fedczuk, Bohdan can be contacted via phone (607) 772-6266.

Contact Information

Primary practice address
27 Park Ave Second Floor Binghamton NY 13903-1605
Fax: (607) 772-8567
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 162722 New York

Profile Details

NPI number 1992797096
LBN Legal business name Fedczuk, Bohdan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 18th, 2011 - about 13 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 1992797096 NPPES
New York MEDICAID 01191386

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