Madonian, Ara S

Madonian, Ara S is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 2E, Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Madonian, Ara S can be contacted via phone (315) 634-3399.

Contact Information

Primary practice address
5100 W Taft Rd Suite 2E Liverpool NY 13088-3807
Fax: (315) 634-3395
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 095503 New York

Profile Details

NPI number 1790744076
LBN Legal business name Madonian, Ara S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
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 1790744076 NPPES
New York MEDICAID 00590556

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