Reddy, Michael

Reddy, Michael is an individual health care provider with primary practice located at 2 Ellinwood Dr , New Hartford NY 13413-1102. 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. Reddy, Michael can be contacted via phone (315) 724-1012.

Contact Information

Primary practice address
2 Ellinwood Dr New Hartford NY 13413-1102
Phone: (315) 724-1012
Fax: (157) 245-2193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006120 New York

Profile Details

NPI number 1386647444
LBN Legal business name Reddy, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 21st, 2022 - about 2 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 1386647444 NPPES
New York MEDICAID 01798847

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