Wodka, Michael L

Wodka, Michael L is an individual health care provider with primary practice located at 30 Industrial Dr , Middletown NY 10941-1662. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Wodka, Michael L can be contacted via phone (845) 692-3338.

Contact Information

Primary practice address
30 Industrial Dr Middletown NY 10941-1662
Phone: (845) 692-3338
Fax: (845) 692-5549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003161-1 New York

Profile Details

NPI number 1538149208
LBN Legal business name Wodka, Michael L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 5th, 2007 - about 18 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

Identifiers

StateTypeNumberIssuer
All States NPI 1538149208 NPPES
New York MEDICAID 00554738

Popular Providers