Tersegno, Michael M
Tersegno, Michael M is an individual health care provider with primary practice located at 736 Irving Ave , Syracuse NY 13210-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tersegno, Michael M can be contacted via phone (315) 470-7551.Contact Information
Primary practice address
736 Irving Ave
Syracuse NY 13210-1687
Phone: (315) 470-7551
Fax: (315) 470-2719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 162948 | New York |
Profile Details
| NPI number | 1225021785 |
|---|---|
| LBN Legal business name | Tersegno, Michael M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 12th, 2012 - about 14 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 | 1225021785 | NPPES |
| New York | MEDICAID | 01141193 |
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