Fedyshyn, Todd William
Fedyshyn, Todd William is an sole proprietor health care provider with primary practice located at 45 Brewster St , Johnson City NY 13790-2835. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Fedyshyn, Todd William can be contacted via phone (607) 351-9352.Contact Information
Primary practice address
45 Brewster St
Johnson City NY 13790-2835
Phone: (607) 351-9352
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1639835010 |
|---|---|
| LBN Legal business name | Fedyshyn, Todd William |
| Credentials | SERVICE COORDINATOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2021 |
| Last updated | Nov 10th, 2021 - about 5 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 | 1639835010 | NPPES |
| New York | MEDICAID | 03169371 |
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