Pidor, Haidee I
Pidor, Haidee I is an sole proprietor health care provider with primary practice located at 1519 Nye Rd , Lyons NY 14489-9133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Pidor, Haidee I can be contacted via phone (315) 946-5722.Contact Information
Primary practice address
1519 Nye Rd
Lyons NY 14489-9133
Phone: (315) 946-5722
Fax: (315) 946-7068
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | NY164459 | New York |
Profile Details
NPI number | 1801956321 |
---|---|
LBN Legal business name | Pidor, Haidee I |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801956321 | NPPES |
New York | MEDICAID | 01014740 |
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