Fudyma, John
Fudyma, John is an individual health care provider with primary practice located at 2350 Maple Rd Ste 100 , Amherst NY 14221-4080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fudyma, John can be contacted via phone (716) 688-6500.Contact Information
Primary practice address
2350 Maple Rd Ste 100
Amherst NY 14221-4080
Phone: (716) 688-6500
Fax: (716) 688-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 172763 | New York |
Profile Details
| NPI number | 1073562716 |
|---|---|
| LBN Legal business name | Fudyma, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Nov 27th, 2023 - about 3 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 | 1073562716 | NPPES |
| New York | MEDICAID | 01205912 | |
| New York | Other | 00010058701 | |
| New York | Other | 0407602 | |
| New York | Other | 005108981 |
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