Polidoro, Michael

Polidoro, Michael is an individual health care provider with primary practice located at 375 E Main St Ste 1, Bay Shore NY 11706-8418. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Polidoro, Michael can be contacted via phone (631) 665-8790.

Contact Information

Primary practice address
375 E Main St Ste 1 Bay Shore NY 11706-8418
Phone: (631) 665-8790
Fax: (631) 665-1581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009063 New York

Profile Details

NPI number 1043236375
LBN Legal business name Polidoro, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 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

Popular Providers