Madissoo, Andres M

Madissoo, Andres M is an individual health care provider with primary practice located at 1226 E Water St , Syracuse NY 13210-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Madissoo, Andres M can be contacted via phone (315) 478-4185.

Contact Information

Primary practice address
1226 E Water St Syracuse NY 13210-1155
Phone: (315) 478-4185
Fax: (315) 478-0840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 203934 New York

Profile Details

NPI number 1770570517
LBN Legal business name Madissoo, Andres M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jun 21st, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770570517 NPPES
New York MEDICAID 02084128

Popular Providers