Lodolce, James G

Lodolce, James G is an individual health care provider with primary practice located at 4101 Medical Center Dr , Fayetteville NY 13066-6610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lodolce, James G can be contacted via phone (315) 637-7878.

Contact Information

Primary practice address
4101 Medical Center Dr Fayetteville NY 13066-6610
Phone: (315) 637-7878
Fax: (315) 329-7825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 120383 New York

Profile Details

NPI number 1275593600
LBN Legal business name Lodolce, James G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Aug 10th, 2022 - 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 1275593600 NPPES
New York MEDICAID 00567051

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