Taddeo, Andrew
Taddeo, Andrew is an individual health care provider with primary practice located at 1101 Erie Blvd E , Syracuse NY 13210-1144. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Taddeo, Andrew can be contacted via phone (315) 422-4412.Contact Information
Primary practice address
1101 Erie Blvd E
Syracuse NY 13210-1144
Phone: (315) 422-4412
Fax: (315) 422-4690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | C0038721 | New York |
Profile Details
| NPI number | 1730199043 |
|---|---|
| LBN Legal business name | Taddeo, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Feb 21st, 2008 - about 16 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 | 1730199043 | NPPES |
| New York | MEDICAID | 01007758 |
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