Fidler, Michael J

Fidler, Michael J is an individual health care provider with primary practice located at 161 Riverside Dr Ste 201, Binghamton NY 13905-4178. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Fidler, Michael J can be contacted via phone (607) 798-7169.

Contact Information

Primary practice address
161 Riverside Dr Ste 201 Binghamton NY 13905-4178
Phone: (607) 798-7169
Fax: (607) 798-9204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 030712 New York

Profile Details

NPI number 1568468130
LBN Legal business name Fidler, Michael J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1568468130 NPPES
New York MEDICAID 00554912

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