Dr. Michael J Fidler
Oral and Maxillofacial Pathology
161 Riverside Dr Ste 201
Binghamton
, New York 13905-4178
Dr. Michael J Fidler
Oral and Maxillofacial Pathology
161 Riverside Dr Ste 201
Binghamton
, New York 13905-4178
(607) 798-9204
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Michael J Fidler
- 161 Riverside Dr Ste 201
- Binghamton, NY
- Zip : 13905-4178
- Fax : (607) 798-9204
- Phone : (607) 798-7169
Second Address
- Dr. Michael J Fidler
- 161 Riverside Dr Ste 201
- Binghamton, NY
- Zip : 13905-4178
- Fax : (607) 798-9204
- Phone : (607) 798-7169
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 030712 | NY |
National Provider Identifier
| NPI | 1568468130 |
|---|---|
| Provider Name | Dr. Michael J Fidler |
| First Address | Binghamton, NY 13905-4178 |
| Second Address | Binghamton, NY 13905-4178 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00554912 | (05) | NY |
| 30173B | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.