Fedyshyn, Todd William

Fedyshyn, Todd William is an sole proprietor health care provider with primary practice located at 45 Brewster St , Johnson City NY 13790-2835. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Fedyshyn, Todd William can be contacted via phone (607) 351-9352.

Contact Information

Primary practice address
45 Brewster St Johnson City NY 13790-2835
Phone: (607) 351-9352
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1639835010
LBN Legal business name Fedyshyn, Todd William
Credentials SERVICE COORDINATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2021
Last updated Nov 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639835010 NPPES
New York MEDICAID 03169371

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