Medved, Vladimir

Medved, Vladimir is an individual health care provider with primary practice located at 24 4Th St , Malone NY 12953-1350. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Medved, Vladimir can be contacted via phone (518) 481-6044.

Contact Information

Primary practice address
24 4Th St Malone NY 12953-1350
Phone: (518) 481-6044
Fax: (518) 481-6043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 221956 New York
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 221956 New York

Profile Details

NPI number 1760572903
LBN Legal business name Medved, Vladimir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 22nd, 2016 - about 8 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 1760572903 NPPES
New York MEDICAID 02410126
New York Other 5996910
New York Other 364145
New York Other P010221956
New York Other P00189181

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