Tedford, Michael G
Tedford, Michael G is an sole proprietor health care provider with primary practice located at 254 Route 17K Ste 204 , Newburgh NY 12550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tedford, Michael G can be contacted via phone (845) 561-4466.Contact Information
Primary practice address
254 Route 17K Ste 204
Newburgh NY 12550
Phone: (845) 561-4466
Fax: (845) 561-7190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 203269 | New York |
Profile Details
| NPI number | 1750453742 |
|---|---|
| LBN Legal business name | Tedford, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 28th, 2018 - 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 | 1750453742 | NPPES |
| New York | MEDICAID | 01899169 |
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