Fedczuk, Bohdan
Fedczuk, Bohdan is an individual health care provider with primary practice located at 27 Park Ave Second Floor, Binghamton NY 13903-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fedczuk, Bohdan can be contacted via phone (607) 772-6266.Contact Information
Primary practice address
27 Park Ave Second Floor
Binghamton NY 13903-1605
Phone: (607) 772-6266
Fax: (607) 772-8567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 162722 | New York |
Profile Details
| NPI number | 1992797096 |
|---|---|
| LBN Legal business name | Fedczuk, Bohdan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 18th, 2011 - about 15 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 | 1992797096 | NPPES |
| New York | MEDICAID | 01191386 |
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